Active NPI
Joseph Michael Shaw II, D.C.
- Chiropractor
- Munising, MI
National Provider Identifier
1336407675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1677
- Practice address
- 126 E Superior St
Munising, MI 49862-1122 - Phone
- (906) 387-1200
- NPI assigned
- Apr 24, 2012
- Last updated
- Feb 14, 2013
- 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 | 1677 | NM | Primary |
Addresses
Primary practice location
126 E Superior St
Munising, MI 49862-1122
Mailing address
126 E Superior St
126 East Superior Street
Munising, MI 49862-1122
Phone (906) 387-1200
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 |
|---|---|---|---|
| 1677 | NM | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DL Kolbus Incorporated | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1336407675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E SUPERIOR ST",
"address_2": "126 EAST SUPERIOR STREET",
"city": "MUNISING",
"state": "MI",
"postal_code": "498621122",
"telephone_number": "906-387-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E SUPERIOR ST",
"city": "MUNISING",
"state": "MI",
"postal_code": "498621122",
"telephone_number": "906-387-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munising, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.