Richard D Shade, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010861-1 Issued in NY

Practice address

513 Highway 17 N
North Myrtle Beach, SC 29582-2903

Phone

(843) 280-7000

Fax

(843) 280-7001

NPI assigned

Sep 22, 2006

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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 SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Pain Center West AshleyGroup PAC ID 9638510332, 2 clinicians

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

• Spine Pain Center West Ashley

  • Chiropractor
  • Mount Pleasant, SC
  • NPI 1881338671
  Medicare reassignment Care Compare group NPD
• Nmbchiropractic LLC

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1316527245
  Medicare reassignment NPD
• North Myrtle Beach Chiropractic PC

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1962588798
  NPD (past)
• Palmetto Wellness and Injury Center of Marion County

  • Chiropractor
  • Marion, SC
  • NPI 1033583133
  NPD (past)
• East Greenbush Chiropractic PLLC

  • Chiropractor
  • East Greenbush, NY
  • NPI 1245706613
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1326148313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822903",
            "telephone_number": "843-280-7000",
            "fax_number": "843-280-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822903",
            "telephone_number": "843-280-7000",
            "fax_number": "843-280-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Sawyer
• Scott John Scafidi, DC
• Natalie Schwab, APRN, FNP-C
• Scott J. Scafidi DC PA
• Dillon Sease, DDS
• Marjorie Jade Shahan, PHARMD
• Jaime Lynn Shaver, D.C.
• Teresa Shelley, RPH
• Simon Chiropractic
• Darren Sanjay Singh, O.D.

• Chiropractor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.