Active NPI
Michael M Shaw
- Chiropractor
- Dallas, TX
National Provider Identifier
1609979863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9295
- Practice address
- 3000 Carlisle
Suite 206
Dallas, TX 75204 - Phone
- (214) 754-0700
- Fax
- (214) 754-0703
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9295 | TX | Primary |
Addresses
Primary practice location
3000 Carlisle
Suite 206
Dallas, TX 75204
Mailing address
3000 Carlisle
Suite 206
Dallas, TX 75204
Phone (214) 754-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9295 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond B Perry | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1609979863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CARLISLE",
"address_2": "SUITE 206",
"city": "DALLAS",
"state": "TX",
"postal_code": "75204",
"telephone_number": "214-754-0700",
"fax_number": "214-754-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CARLISLE",
"address_2": "SUITE 206",
"city": "DALLAS",
"state": "TX",
"postal_code": "75204",
"telephone_number": "214-754-0700",
"fax_number": "214-754-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "MICHAEL",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.