Shaw Chiropractic and Medical Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHAW CHIROPRACTIC AND MEDICAL CENTER, LLC

Practice address

711 E Main St Ste 102
Hendersonville, TN 37075-2742

Phone

(615) 447-5220

Fax

(615) 447-5253

NPI assigned

Jun 24, 2022

Last updated

Jun 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Ryan Shaw, DCNPI 1285947424

Title

Doctor/Owner

Phone

(615) 447-5220

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Kline, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1306625512
  Medicare reassignment NPD
• Kenneth Ryan Shaw, D.C.

  • Chiropractor
  • Hendersonville, TN
  • NPI 1285947424
  NPD Authorized official

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1710619143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST STE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752742",
            "telephone_number": "615-447-5220",
            "fax_number": "615-447-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST STE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752742",
            "telephone_number": "615-447-5220",
            "fax_number": "615-447-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW CHIROPRACTIC AND MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "615-447-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Robert Shapiro, D.C.
• Eliane Lerias Sharp, PT
• Stephen Erik Sharpe, PA-C
• Arslan Shaukat, M.B.B.S
• Shaw Chiropractic and Joint Center
• Kenneth Ryan Shaw, D.C.
• Riley Shaw, PT, DPT
• John K. Shea, D.M.D.
• Eric Shell, PHARMD
• David R Shepherd, PHARM.D

• Internal Medicine Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.