Individual provider Active NPI

Shea Stark, DC

  • Chiropractor
  • Spring, TX
National Provider Identifier
1639568405
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-3454 Issued in MT
Practice address
8500 Cypresswood Dr Ste 207
Spring, TX 77379-7109
Phone
(281) 547-8930
Fax
(844) 473-1290
NPI assigned
Jan 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-3454 MT Primary

Addresses

Primary practice location

8500 Cypresswood Dr Ste 207
Spring, TX 77379-7109

Mailing address

8500 Cypresswood Dr Ste 207
Spring, TX 77379-7109
Phone (281) 547-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514003179 TX Practitioner - ChiropracticPractitioner - Sports Medicine 3072830645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8500 Cypresswood Dr
Suite 207
Spring, TX 77379-7109
Phone (281) 547-8930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14406TXMDCounselor
CHI-CHI-LIC-3454MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Morrell Spine & Sport Chiropractor PastSince Feb 1, 2024 Accepting new patients

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": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1639568405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 CYPRESSWOOD DR STE 207",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797109",
            "telephone_number": "281-547-8930",
            "fax_number": "844-473-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 CYPRESSWOOD DR STE 207",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797109",
            "telephone_number": "281-547-8930",
            "fax_number": "844-473-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.