Organization Active NPI

Shaun Waldman DC Inc

Doing business as Foster Chiropractic Center

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1629281886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1003004695 Issued in NV
Legal business name
SHAUN WALDMAN DC INC
Doing business as
Foster Chiropractic Center
Practice address
1525 W Warm Springs Rd
Ste 300
Henderson, NV 89014-4315
Phone
(702) 566-3552
Fax
(702) 565-7787
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shaun Waldman, DCNPI 1508079765
Title
Owner
Phone
(702) 566-3552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1003004695 NV Primary

Addresses

Primary practice location

1525 W Warm Springs Rd
Ste 300
Henderson, NV 89014-4315

Mailing address

1525 W Warm Springs Rd
Ste 300
Henderson, NV 89014-4315
Phone (702) 566-3552

Other names 1

  • Foster Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1525 W Warm Springs Rd
Ste 300
Henderson, NV 89014
Phone (702) 566-3552

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629281886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W WARM SPRINGS RD",
            "address_2": "STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144315",
            "telephone_number": "702-566-3552",
            "fax_number": "702-565-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W WARM SPRINGS RD",
            "address_2": "STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144315",
            "telephone_number": "702-566-3552",
            "fax_number": "702-565-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN WALDMAN DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-566-3552",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "1003004695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foster Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.