Individual provider Active NPI

Jason Shull, DC

  • Chiropractor
  • Amherst, NH
National Provider Identifier
1669870853
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1085 Issued in NH
Practice address
89 NH 101a
Amherst, NH 03031-2290
Phone
(336) 239-8670
NPI assigned
Dec 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X
Chiropractor 111N00000X 1085 NH Primary

Addresses

Primary practice location

89 NH 101a
Amherst, NH 03031-2290

Mailing address

55 Amoskeag St
Manchester, NH 03102-3224
Phone (336) 239-8670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223001406 NH Practitioner - Chiropractic 0345684833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

89 State Route 101a
Suite 3
Amherst, NH 03031-2290
Phone (336) 239-8670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1085NHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shull Chiropractic LLC Chiropractor CurrentSince Jan 2, 2025 Accepting new patients
Amherst Family Chiropractic Wellness Center, LLC Chiropractor CurrentSince Jan 6, 2024 Accepting new patients
Amoskeag Chiropractic Inc Chiropractor PastSince Apr 6, 2021 Accepting new patients

Locations

89 State Route 101A
Ste 3
Amherst, NH 03031
Phone (336) 239-8670

89 State Route 101A
Amherst, NH 03031
Phone (603) 673-0010

Organizations & group practices 3

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": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1669870853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 AMOSKEAG ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023224",
            "telephone_number": "336-239-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 NH 101A",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312290",
            "telephone_number": "336-239-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-20",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.