Individual provider Active NPI

Shawn Allan Devary, DC

  • Chiropractor
  • Holly, MI
National Provider Identifier
1346213360
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008821 Issued in MI
Practice address
1121 N Saginaw St
Suite 2
Holly, MI 48442-1380
Phone
(248) 328-9291
Fax
(248) 328-0944
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008821 MI Primary

Addresses

Primary practice location

1121 N Saginaw St
Suite 2
Holly, MI 48442-1380

Mailing address

1121 N Saginaw St
Suite 2
Holly, MI 48442-1380
Phone (248) 328-9291

Other identifiers 1

IdentifierTypeStateIssuer
950F327630OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000166 MI Practitioner - Chiropractic 8820028384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1121 N Saginaw
2 Well Adjusted Chiropractic
Holly, MI 48442-1380
Phone (248) 328-9291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008821MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Devary Chiropractic Wellness Center Chiropractor CurrentSince Oct 1, 2006 Accepting new patients
William Boggs P.C. Chiropractor PastSince Oct 1, 2006 Accepting new patients

Locations

12745 S Saginaw St
Ste 802
Grand Blanc, MI 48439
Phone (810) 953-2225

1121 N Saginaw St
Ste 2
Holly, MI 48442
Phone (248) 328-9291

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1346213360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N SAGINAW ST",
            "address_2": "SUITE 2",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421380",
            "telephone_number": "248-328-9291",
            "fax_number": "248-328-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N SAGINAW ST",
            "address_2": "SUITE 2",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421380",
            "telephone_number": "248-328-9291",
            "fax_number": "248-328-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARY",
        "first_name": "SHAWN",
        "middle_name": "ALLAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F327630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.