Individual provider Active NPI

Shawn David Shapiro, D.C.

  • Chiropractor
  • Portsmouth, NH
National Provider Identifier
1710034707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
708-1103 Issued in NH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30253119MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
708-1103NHMDChiropractor

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.

Verify at the official NPI Registry.