Individual provider Active NPI

Shawn Helmer Nord, D.C.

  • Chiropractor
  • Eagle, ID
National Provider Identifier
1346232501
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C561 Issued in ID
Practice address
589 E State St
Eagle, ID 83616-5938
Phone
(208) 939-9195
Fax
(208) 939-4686
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C561 ID Primary

Addresses

Primary practice location

589 E State St
Eagle, ID 83616-5938

Mailing address

PO Box 310
Eagle, ID 83616-0310
Phone (208) 939-9195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080310000672 ID Practitioner - Chiropractic 9830274265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5337 W State St
Eagle, ID 83616-4313
Phone (208) 939-9195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C561IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Chiropractic PC CurrentSince May 1, 1999 Accepting new patients

Locations

589 E State St
Eagle, ID 83616
Phone (208) 939-9195

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346232501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836160310",
            "telephone_number": "208-939-9195",
            "fax_number": "208-939-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 E STATE ST",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165938",
            "telephone_number": "208-939-9195",
            "fax_number": "208-939-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "SHAWN",
        "middle_name": "HELMER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.