Organization Active NPI

Shapiro Family Chiropractic, Inc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1366734162
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
26993 Issued in CA
Legal business name
SHAPIRO FAMILY CHIROPRACTIC, INC.
Practice address
4861 Convoy St
San Diego, CA 92111-1610
Phone
(858) 565-2433
Fax
(858) 565-8504
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Stanley Phillip Shapiro, D.C.NPI 1518154509
Title
Owner/President
Phone
(858) 565-2433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 26993 CA Primary

Addresses

Primary practice location

4861 Convoy St
San Diego, CA 92111-1610

Mailing address

4861 Convoy St
San Diego, CA 92111-1610
Phone (858) 565-2433

Other identifiers 1

IdentifierTypeStateIssuer
1518154509OtherCASOLE PROPRIETOR NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000040 CA Part B Supplier - Clinic/Group Practice 9739366196 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1366734162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111610",
            "telephone_number": "858-565-2433",
            "fax_number": "858-565-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111610",
            "telephone_number": "858-565-2433",
            "fax_number": "858-565-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPIRO FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-565-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR NPI",
            "identifier": "1518154509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.