Active NPI
Shawn Desmond Pallotti, D.C.
- Chiropractor
- King George, VA
National Provider Identifier
1336263250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556098
- Practice address
- 9305 Kings Hwy
Suite a
King George, VA 22485-3423 - Phone
- (540) 775-2250
- Fax
- (540) 775-2448
- NPI assigned
- Mar 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556098 | VA | Primary |
Addresses
Primary practice location
9305 Kings Hwy
Suite a
King George, VA 22485-3423
Mailing address
9305 Kings Hwy
Suite a
King George, VA 22485-3423
Phone (540) 775-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556098 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1336263250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 KINGS HWY",
"address_2": "SUITE A",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853423",
"telephone_number": "540-775-2250",
"fax_number": "540-775-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9305 KINGS HWY",
"address_2": "SUITE A",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224853423",
"telephone_number": "540-775-2250",
"fax_number": "540-775-2448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLOTTI",
"first_name": "SHAWN",
"middle_name": "DESMOND",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-17",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.