Active NPI
Shawn Joseph Edwards, D.C.
- Chiropractor
- Naples, FL
National Provider Identifier
1679534085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6767
- Practice address
- 3031 Airport Pulling Rd N
Naples, FL 34105-3076 - Phone
- (239) 659-2669
- Fax
- (239) 659-2639
- NPI assigned
- Mar 28, 2006
- 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 | CH6767 | FL | Primary |
Addresses
Primary practice location
3031 Airport Pulling Rd N
Naples, FL 34105-3076
Mailing address
3031 Airport Pulling Rd N
Naples, FL 34105-3076
Phone (239) 659-2669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381895100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3031 Airport Rd N
Naples, FL 34105-3076
Phone (239) 330-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6767 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feel Amazing Spine and Joint Institute, Inc. | Chiropractor | Current | Accepting new patients |
| Physical Medicine Center | Past | Accepting new patients | |
| Bayview Medical & Rehab Center, Inc. | Past | Accepting new patients | |
| Total Orthopedic Rehabilitation, Inc | Chiropractor | Past | Accepting new patients |
| Jessica J Wilson Chan D O PA | Past | Accepting new patients | |
| Advanced Healthcare Alternatives Center for Integrative Medicine and | Past | Accepting new patients |
Locations
3031 Airport Rd N
Naples, FL 34105
Phone (239) 330-1000
Organizations & group practices 6
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.
-
- General Practice Physician
- Naples, FL
- NPI 1851845820
Chiropractor
-
- Chiropractor
- Seffner, FL
- NPI 1386814366
-
- Psychiatry Physician
- New Port Richey, FL
- NPI 1063866358
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tampa, FL
- NPI 1811200587
-
- General Practice Physician
- Tampa, FL
- NPI 1457995953
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1902810963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1679534085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341053076",
"telephone_number": "239-659-2669",
"fax_number": "239-659-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341053076",
"telephone_number": "239-659-2669",
"fax_number": "239-659-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SHAWN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381895100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.