Stephen Burnet Shaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00705 Issued in NV

Practice address

2625 S Rainbow Blvd Ste C102
Las Vegas, NV 89146-5181

Phone

(702) 873-2307

Fax

(702) 873-2480

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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.

• Robert Odell MD PHD Medical Enterprises

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1306124086
  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720104847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 S RAINBOW BLVD STE C102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465181",
            "telephone_number": "702-873-2307",
            "fax_number": "702-873-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 S RAINBOW BLVD STE C102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465181",
            "telephone_number": "702-873-2307",
            "fax_number": "702-873-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "STEPHEN",
        "middle_name": "BURNET",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaches Shaw
• Qumiya J Shaw
• Rickey Shaw
• Ronaldo Shaw
• Shanay Shaw
• Steven Shaw, DDS, MS
• Takara Shaw
• Timothy Shaw, MD
• Toshia Shaw, LCSW
• Troy Nicol Shaw

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.