Active NPI
Shaw Family Practice PC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1366171654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SHAW FAMILY PRACTICE PC
- Practice address
- 148 W Oak St Ste C
Fort Collins, CO 80524-2893 - Phone
- (970) 658-1281
- Fax
- (970) 844-8884
- NPI assigned
- Jun 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jo Nell M Shaw, DC, ND
- Title
- Ceo, Chief Clinician
- Phone
- (970) 658-1281
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Pediatric Chiropractor | 111NP0017X | |||
| Naturopath | 175F00000X |
Addresses
Primary practice location
148 W Oak St Ste C
Fort Collins, CO 80524-2893
Mailing address
148 W Oak St Ste C
Fort Collins, CO 80524-2893
Phone (970) 658-1281
National Provider Directory
National Provider DirectoryLocations
148 W Oak St
Ste C
Fort Collins, CO 80524
Phone (970) 658-1281
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chicago, IL
- NPI 1497221733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1366171654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W OAK ST STE C",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242893",
"telephone_number": "970-658-1281",
"fax_number": "970-844-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W OAK ST STE C",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242893",
"telephone_number": "970-658-1281",
"fax_number": "970-844-8884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAW FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "JO NELL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO, CHIEF CLINICIAN",
"authorized_official_telephone_number": "970-658-1281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, ND"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.