Individual provider Active NPI

Shawn Stubbs, D.C.

  • Chiropractor
  • Moody, AL
National Provider Identifier
1376505818
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AL1449 Issued in AL
Practice address
2826 Moody Pkwy
Ste a
Moody, AL 35004-3101
Phone
(205) 640-6500
Fax
(205) 640-7073
NPI assigned
Apr 3, 2006
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AL1449 AL Primary

Addresses

Primary practice location

2826 Moody Pkwy
Ste a
Moody, AL 35004-3101

Mailing address

2826 Moody Pkwy
Ste a
Moody, AL 35004-3101
Phone (205) 640-6500

Other identifiers 1

IdentifierTypeStateIssuer
510-75104OtherALBCBS OF AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000439 AL Practitioner - Chiropractic 7214945195 Practice locations: Moody, AL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2826 Moody Pkwy
Suite a
Moody, AL 35004-3101
Phone (205) 640-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL1449ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Shawn Stubbs D.C. Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

2826 Moody Pkwy
Ste A
Moody, AL 35004
Phone (205) 640-6500

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, 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1376505818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 MOODY PKWY",
            "address_2": "STE A",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043101",
            "telephone_number": "205-640-6500",
            "fax_number": "205-640-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 MOODY PKWY",
            "address_2": "STE A",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043101",
            "telephone_number": "205-640-6500",
            "fax_number": "205-640-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "AL1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "510-75104",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.