Carl William Shaffstall Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14898 Issued in TX

Practice address

3538 Lakeview Pkwy Ste 100
Rowlett, TX 75088-4090

Phone

(972) 412-4442

NPI assigned

Nov 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

First Step ChiropracticGroup PAC ID 8426071887, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Step Chiropractic

  • Chiropractor
  • Rowlett, TX
  • NPI 1457537847
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1447916291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 RUPLEY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182035",
            "telephone_number": "328-683-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 LAKEVIEW PKWY STE 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884090",
            "telephone_number": "972-412-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFSTALL",
        "first_name": "CARL",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Sellers
• Senior Care Consultants (Rowlett Health & Rehabilitation Center, Inc)
• Seniors United LLC (Seniors Helping Seniors)
• Serenity Sleep Solutions Corp
• Jasmine Marie Serna, M.A
• Ishani Shah, MD
• Kimberly Ann Shahariyar
• Sharon Redd Inc
• Katie Lynn Sharp, PHD
• Mary Rose Shiner, MS, RDN/LD

• Chiropractor in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.