Individual provider Active NPI

Shawn Brown

  • Chiropractor
  • Chehalis, WA
National Provider Identifier
1659979276
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61348587 Issued in WA
Practice address
2923 Jackson Hwy
Chehalis, WA 98532-8650
Phone
(360) 996-4800
Fax
(360) 996-4801
NPI assigned
Oct 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14351 TX
Chiropractor 111N00000X CH61348587 WA Primary

Addresses

Primary practice location

2923 Jackson Hwy
Chehalis, WA 98532-8650

Mailing address

2923 Jackson Hwy
Chehalis, WA 98532-8650
Phone (360) 996-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221028002378 WA Practitioner - Chiropractic 4082025275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Chiropractic Center, PLLCGroup PAC ID 2466774641, 2 clinicians

Practice addresses (Care Compare)

2923 Jackson Hwy
Chehalis, WA 98532-8650
Phone (360) 996-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14351TXMDCounselor
CH61348587WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic Center, PLLC Chiropractor CurrentSince Oct 31, 2022 Accepting new patients

Locations

2923 Jackson Hwy
Chehalis, WA 98532
Phone (360) 996-4778

2530 NE Kresky Ave
Ste A
Chehalis, WA 98532
Phone (360) 996-4800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1659979276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 JACKSON HWY",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328650",
            "telephone_number": "360-996-4800",
            "fax_number": "360-996-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 JACKSON HWY",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328650",
            "telephone_number": "360-996-4800",
            "fax_number": "360-996-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14351",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61348587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.