Individual provider Active NPI

Shad C Rice, D.C.

  • Chiropractor
  • Weston, WV
National Provider Identifier
1548443443
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
875 Issued in WV
Practice address
235 N River Ave
Weston, WV 26452-1620
Phone
(304) 997-8450
Fax
(304) 997-8452
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 875 WV Primary

Addresses

Primary practice location

235 N River Ave
Weston, WV 26452-1620

Mailing address

235 N River Ave
Weston, WV 26452-1620
Phone (304) 997-8450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000009 WV Practitioner - Chiropractic 4880777283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 N River Ave
Weston, WV 26452-1620
Phone (304) 997-8450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
875WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Family Chiropractic PLLC Chiropractor CurrentSince Sep 1, 2014 Accepting new patients
Mike Mason Chiropractic PLLC Chiropractor PastSince Mar 1, 2006 Accepting new patients

Locations

235 N River Ave
Weston, WV 26452
Phone (304) 613-1881

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1548443443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N RIVER AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521620",
            "telephone_number": "304-997-8450",
            "fax_number": "304-997-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N RIVER AVE",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521620",
            "telephone_number": "304-997-8450",
            "fax_number": "304-997-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "SHAD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.