Individual provider Active NPI

David Lee Shapiro, D.C.

  • Chiropractor
  • Patchogue, NY
National Provider Identifier
1609803741
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0065441 Issued in NY
Practice address
450 Waverly Ave
Building 3
Patchogue, NY 11772-1555
Phone
(631) 758-6444
Fax
(631) 758-6379
NPI assigned
Jun 26, 2006
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 X0065441 NY Primary

Addresses

Primary practice location

450 Waverly Ave
Building 3
Patchogue, NY 11772-1555

Mailing address

450 Waverly Ave
Building 3
Patchogue, NY 11772-1555
Phone (631) 758-6444

Other identifiers 1

IdentifierTypeStateIssuer
1285660027OtherNYMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000435 NY Practitioner - Chiropractic 3072519461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 Veterans Memorial Hwy
Suite 1
Islandia, NY 11749-1532
Phone (631) 655-5997

8 Bond St
Suite 201
Great Neck, NY 11021-2418
Phone (516) 466-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0065441NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Suffolk Chiropractic P.C. Chiropractor CurrentSince May 29, 2019 Accepting new patients
Our Gentle Touch Chiropractic, PC Chiropractor CurrentSince Jul 1, 2014 Accepting new patients
Chiropractic Rehabilitation, PC CurrentSince Aug 15, 2014 Accepting new patients
Atlantic Chiropractic of Shirley P.C. Chiropractor PastSince Sep 23, 1998 Accepting new patients

Locations

1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

8 Bond St
Ste 201
Great Neck, NY 11021

1717 Veterans Memorial Hwy
Ste 1
Islandia, NY 11749
Phone (631) 203-4300

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1609803741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE",
            "address_2": "BUILDING 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721555",
            "telephone_number": "631-758-6444",
            "fax_number": "631-758-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE",
            "address_2": "BUILDING 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721555",
            "telephone_number": "631-758-6444",
            "fax_number": "631-758-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0065441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1285660027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.