Active NPI
Shahira Haidary, DC
- Chiropractor
- Tracy, CA
National Provider Identifier
1750189767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC37228
- Practice address
- 227 E 11TH St
Tracy, CA 95376-4015 - Phone
- (209) 740-1649
- NPI assigned
- Mar 5, 2025
- Sex
- Female
- 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 | DC37228 | CA | Primary |
Addresses
Primary practice location
227 E 11TH St
Tracy, CA 95376-4015
Mailing address
3146 Mulholland Dr
Lathrop, CA 95330-7124
Phone (209) 740-1649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC37228 | CA | MD | Chiropractor |
| 37228 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Pain & Spine Group | Current | Accepting new patients |
Locations
227 E 11th St
Tracy, CA 95376
Phone (209) 740-1649
Organizations & group practices 1
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.
-
- Other Specialist/Technologist
- Tracy, CA
- NPI 1871188862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1750189767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3146 MULHOLLAND DR",
"city": "LATHROP",
"state": "CA",
"postal_code": "953307124",
"telephone_number": "209-740-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 E 11TH ST",
"city": "TRACY",
"state": "CA",
"postal_code": "953764015",
"telephone_number": "209-740-1649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDARY",
"first_name": "SHAHIRA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC37228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.