Shawn Thomas Tyson, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

0104556096 Issued in VA

Practice address

11037 Hull Street Rd
Midlothian, VA 23112-3254

Phone

(804) 745-8745

Fax

(888) 628-6488

NPI assigned

May 21, 2007

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 VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Care, LLC

  • Rehabilitation Chiropractor
  • Midlothian, VA
  • NPI 1215284245
  Medicare reassignment NPD
• Hands on Healthcare

  • Rehabilitation Chiropractor
  • Prescott, AZ
  • NPI 1053529958
  NPD (past) Authorized official
• Central Virginia Disc Center

  • Chiropractor
  • Glen Allen, VA
  • NPI 1932498359
  NPD (past)
• Life Over Pain Neuropathy Center LLC

  • Integrative Medicine Physician
  • Midlothian, VA
  • NPI 1023633963
  NPD (past)
• Richmond Chiropractic Center, LLC

  • Chiropractor
  • Glen Allen, VA
  • NPI 1689885808
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1295943173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-745-8745",
            "fax_number": "888-628-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-745-8745",
            "fax_number": "888-628-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "SHAWN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104556096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Nicole Turner, LBA, BCBA, M.ED.
• Crystal C Turner, DDS
• Patrick L. Turner, M.D.
• Roxene C Turner, NP
• Rachel Tuura, MS, CF-SLP
• Heather Elizabeth Umberger, MS, CMT
• Kaitlyn Underwood, BS, ATS
• United Behavioral Services
• United Health and Wellness, LLC
• Shenna Urquhart

• Rehabilitation Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Rehabilitation Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.