Shawn Patrick Neville, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01783 Issued in MD

Practice address

11750 Business Park Dr
Suite 201
Waldorf, MD 20601-2907

Phone

(301) 645-7770

Fax

(301) 705-8884

NPI assigned

Mar 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 MD

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kennedy Chiropractic PC

  • Chiropractor
  • Waldorf, MD
  • NPI 1295020246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295703106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 BUSINESS PARK DR",
            "address_2": "SUITE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012907",
            "telephone_number": "301-645-7770",
            "fax_number": "301-705-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 BUSINESS PARK DR",
            "address_2": "SUITE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012907",
            "telephone_number": "301-645-7770",
            "fax_number": "301-705-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "SHAWN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Neibauer, DDS
• Tarana Nekzad, D.O.
• Nelson a. Alawode, M.D., P.C.
• Ericka Nelson, LPC, LCPC
• Neurology Office, PC
• New Beginnings Therapeutic Services LLC
• New Look Counseling LLC
• New Market Pharmact, LLC
• New Spring Behavioral Health LLC
• Newbridge Spine and Pain Center, LLC

• Chiropractor in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.