Individual provider Active NPI

Adam Keith Shafran, D.C.

  • Chiropractor
  • Madison, AL
National Provider Identifier
1366512956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2178 Issued in AL
Practice address
1908 Slaughter Rd
Madison, AL 35758-8619
Phone
(256) 430-2700
Fax
(256) 430-1899
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2178 AL Primary

Addresses

Primary practice location

1908 Slaughter Rd
Madison, AL 35758-8619

Mailing address

2424 Danville Rd SW
Suite M
Decatur, AL 35603-4280
Phone (256) 353-4500

Other identifiers 1

IdentifierTypeStateIssuer
515-36877OtherALBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
2178ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Chiropractic & Nutrition Center, LLC Chiropractor PastSince May 22, 2013 Accepting new patients
Millar Chiropractic Huntsville, LLC Chiropractor Past Accepting new patients
Huntsville Chiropractic & Nutrition Center, LLC Chiropractor PastSince Apr 8, 2015 Accepting new patients
Millar Chiropractic Associates, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366512956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 DANVILLE RD SW",
            "address_2": "SUITE M",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034280",
            "telephone_number": "256-353-4500",
            "fax_number": "256-301-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 SLAUGHTER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588619",
            "telephone_number": "256-430-2700",
            "fax_number": "256-430-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRAN",
        "first_name": "ADAM",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-36877",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.