Randall Eugene Shipman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AO5671 Issued in IA

Practice address

621 E Kimberly Rd
Davenport, IA 52807-1614

Phone

(563) 359-1985

Fax

(563) 355-2300

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shipman Chiropractic PCGroup PAC ID 8224002118, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shipman Chiropractic PC

  • Chiropractor
  • Davenport, IA
  • NPI 1538204425
  Medicare reassignment Care Compare group
• Shipman Chiropractic

  • Chiropractor
  • Davenport, IA
  • NPI 1710438445
  NPD Authorized official
• Shipman Chiropractic & Wellness Clinic LLC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1679118046
  NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1710044938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071614",
            "telephone_number": "563-359-1985",
            "fax_number": "563-355-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071614",
            "telephone_number": "563-359-1985",
            "fax_number": "563-355-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "RANDALL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104778",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Shie, DDS
• Boyoung Shim, FNP-BC
• Jennifer Marie Shinners, LMSW
• Shipman Chiropractic
• Shipman Chiropractic PC
• Bavikatte N Shivakumar, M.D.
• Jiovanni N Shivers
• Rodney A Short, M.D.
• Cheryl Kay Shovlain, CADC
• Heather Marie Shuey, PMHNP-BC

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.