Shawn Blad, D.C. P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHAWN BLAD, D.C. P.A.

Practice address

1001 Cross Timbers Rd
Ste 1020
Flower Mound, TX 75028-1371

Phone

(972) 355-8184

Fax

(866) 379-0490

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Blad, D.C.NPI 1881695187

Title

Owner Doctor

Phone

(972) 355-8184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Leaf Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Shawn Andrew Blad, DC

  • Chiropractor
  • Flower Mound, TX
  • NPI 1881695187
  Medicare reassignment NPD Authorized official
• Todd P Oczkowski, D.C.

  • Chiropractor
  • Flower Mound, TX
  • NPI 1750314746
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1437336237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD",
            "address_2": "STE 1020",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281371",
            "telephone_number": "972-355-8184",
            "fax_number": "866-379-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSS TIMBERS RD",
            "address_2": "STE 1020",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281371",
            "telephone_number": "972-355-8184",
            "fax_number": "866-379-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN BLAD, D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BLAD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "972-355-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0089RC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy E Sexton, M.ED. BCBA
• Roya Seysan, MD
• Shae Fawcett Counseling
• Shaily Kesani, PLLC
• Kristen Renee Shaper
• Ethan Paul Shepard, DC
• Sherry Barnett MD PLLC
• Kerri Sherwood
• John C Shillingburg, D.D.S.
• Yong Shin

• Chiropractor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.