Active NPI
Shawn Medley, D.C.
- Chiropractor
- Tucson, AZ
National Provider Identifier
1659879807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8488
- Practice address
- 15615 N Oracle Rd Ste 135
Tucson, AZ 85739-9121 - Phone
- (520) 818-3774
- NPI assigned
- Jan 23, 2018
- 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 | 8488 | AZ | Primary |
Addresses
Primary practice location
15615 N Oracle Rd Ste 135
Tucson, AZ 85739-9121
Mailing address
1160 S Eucalyptus PL
Chandler, AZ 85286-1237
Phone (520) 591-8701
Other practice location 1
1160 S Eucalyptus Pl
Chandler, AZ 85286-1237
Phone (520) 591-8701
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Back Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| Catalina Medical Group, LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Tucson, AZ
- NPI 1598887184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659879807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 S EUCALYPTUS PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852861237",
"telephone_number": "520-591-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 N ORACLE RD STE 135",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857399121",
"telephone_number": "520-818-3774"
}
],
"practiceLocations": [
{
"address_1": "1160 S Eucalyptus Pl",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852861237",
"country_code": "US",
"telephone_number": "520-591-8701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDLEY",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.