Kenneth Ryan Shaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2448 Issued in TN

Practice address

711 E Main St
Suite 102
Hendersonville, TN 37075-2740

Phone

(615) 447-5220

Fax

(615) 447-5253

NPI assigned

Jul 16, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shaw Chiropractic and Joint Center

  • Chiropractor
  • Hendersonville, TN
  • NPI 1891120333
  Medicare reassignment NPD Authorized official
• Shaw Chiropractic and Medical Center, LLC

  • Internal Medicine Physician
  • Hendersonville, TN
  • NPI 1710619143

  Chiropractor

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1285947424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752740",
            "telephone_number": "615-447-5220",
            "fax_number": "615-447-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752740",
            "telephone_number": "615-447-5220",
            "fax_number": "615-447-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KENNETH",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliane Lerias Sharp, PT
• Stephen Erik Sharpe, PA-C
• Arslan Shaukat, M.B.B.S
• Shaw Chiropractic and Joint Center
• Shaw Chiropractic and Medical Center, LLC
• Riley Shaw, PT, DPT
• John K. Shea, D.M.D.
• Eric Shell, PHARMD
• David R Shepherd, PHARM.D
• Reniya Shepherd

• Chiropractor in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.