Shane Becker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00750600 Issued in NJ

Practice address

300 S Lenola Rd
# 23
Maple Shade, NJ 08052-3435

Phone

(856) 733-0684

NPI assigned

Mar 7, 2018

Sex

Male

Sole proprietor

Yes

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 NJ, PA2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Rise Chiropractic Inc

  • Chiropractor
  • Maple Shade, NJ
  • NPI 1851893614
  Medicare reassignment NPD Authorized official
• Rise Chiropractic PLLC

  • Chiropractor
  • Fairless Hills, PA
  • NPI 1598579344
  Medicare reassignment NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1477055226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S LENOLA RD",
            "address_2": "# 23",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523435",
            "telephone_number": "856-733-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S LENOLA RD",
            "address_2": "# 23",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523435",
            "telephone_number": "856-733-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00750600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synclaire Lyn Angelow
• Atlas Medical Transportation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Cassandre Batts, SCHOOL PSYCHOLOGIST
• Bee First Assistants LLC
• Anamarie Bergman
• BJ'S Wholesale Club Inc.
• Amanda Bond
• Lauren Bortner, RN, IBCLC

• Chiropractor in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.