Active NPI
Shawn David Shapiro, D.C.
- Chiropractor
- Portsmouth, NH
National Provider Identifier
1710034707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 708-1103
- Practice address
- 10 Vaughan Mall
Suite 15
Portsmouth, NH 03801-4047 - Phone
- (603) 433-2447
- Fax
- (603) 433-6447
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 708-1103 | NH | Primary |
Addresses
Primary practice location
10 Vaughan Mall
Suite 15
Portsmouth, NH 03801-4047
Mailing address
10 Vaughan Mall
Suite 15
Portsmouth, NH 03801-4047
Phone (603) 433-2447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30253119 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040405000459 | NH | Practitioner - Chiropractic | 4880687110 | Practice locations: Portsmouth, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Vaughan Mall
Suite 15
Portsmouth, NH 03801-4068
Phone (603) 433-2447
10 Vaughan Mall
Suite 211
Portsmouth, NH 03801-4047
38 Sherburne Rd
Apt 1
Portsmouth, NH 03801-4747
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 |
|---|---|---|---|
| 708-1103 | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710034707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 VAUGHAN MALL",
"address_2": "SUITE 15",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014047",
"telephone_number": "603-433-2447",
"fax_number": "603-433-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 VAUGHAN MALL",
"address_2": "SUITE 15",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014047",
"telephone_number": "603-433-2447",
"fax_number": "603-433-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "SHAWN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "708-1103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30253119",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.