Rodney E Shaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04692 Issued in KS

Practice address

320 N Rock Rd Ste 300
Derby, KS 67037-3972

Phone

(316) 789-8100

Fax

(316) 789-9400

NPI assigned

Aug 30, 2006

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 KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brackeen Chiropractic PA

  • Chiropractor
  • Derby, KS
  • NPI 1639242431
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1588773659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N ROCK RD STE 300",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373972",
            "telephone_number": "316-789-8100",
            "fax_number": "316-789-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N ROCK RD STE 300",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373972",
            "telephone_number": "316-789-8100",
            "fax_number": "316-789-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RODNEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seasons of Life Chiropractic Clinic, P.a.
• Karen Sechser
• Charlotte Susana Shain
• Madisyn Shaneyfelt, LPC, ATR-P
• Shaw Chiropractic LLC
• Casondra Short
• Abby Lea Siler, PT, DPT
• Kathrine K Simonsen, PT
• Bradley K Skillen, DDS
• Morgan Skomal, PTA

• Chiropractor in Derby, KS
• Providers in Derby, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.