Shaun Waldman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01162 Issued in NV

Practice address

10624 S Eastern Ave Ste Q
Henderson, NV 89052-2975

Phone

(702) 617-8676

Fax

(702) 617-8678

NPI assigned

May 7, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shaun Waldman DC Inc

  • Chiropractor
  • Henderson, NV
  • NPI 1629281886
  NPD (past) Authorized official
• Ideal Chiropractic

  • Chiropractor
  • Henderson, NV
  • NPI 1497183768
  NPD (past)
• Joseph R Nicola DC PC

  • Independent Medical Examiner Chiropractor
  • Las Vegas, NV
  • NPI 1538578505
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1508079765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE Q",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522975",
            "telephone_number": "702-617-8676",
            "fax_number": "702-617-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE Q",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522975",
            "telephone_number": "702-617-8676",
            "fax_number": "702-617-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "SHAUN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally-Anne Waihenya
• Milford Lane Waite
• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc
• Jason Ian Waldman, MD
• Claire M Waldron, PHD
• Tamika Waldrop
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Chiropractor in Henderson, NV
• Providers in Henderson, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.