Active NPI
Shaine Cararas, DC, PHD, LMT
- Chiropractor
- Tyler, TX
National Provider Identifier
1336649110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15569
- Practice address
- 722 S. Bois D'Arc
Suite 9
Tyler, TX 75701 - Phone
- (430) 435-3030
- NPI assigned
- Feb 18, 2018
- Last updated
- Sep 29, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15569 | TX | Primary |
| Massage Therapist | 225700000X | MT125226 | TX |
Addresses
Primary practice location
722 S. Bois D'Arc
Suite 9
Tyler, TX 75701
Mailing address
747 Freedom Way
Bullard, TX 75757-1321
Phone (504) 432-1525
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15569 | TX | MD | Chiropractor |
| MT125226 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1336649110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 FREEDOM WAY",
"city": "BULLARD",
"state": "TX",
"postal_code": "757571321",
"telephone_number": "504-432-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 S. BOIS D'ARC",
"address_2": "SUITE 9",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "430-435-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARARAS",
"first_name": "SHAINE",
"credential": "DC, PHD, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-18",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15569",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT125226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.