Kevin Dykes Shrum, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

7886DC Issued in TX

Practice address

6127 San Pedro # 2
San Antonio, TX 78216-7204

Phone

(210) 748-7200

Fax

(210) 293-3458

NPI assigned

Dec 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Spine Care & Injury Rehabilitation Center, LLC

  • Rehabilitation Chiropractor
  • San Antonio, TX
  • NPI 1528189982
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1750442984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310701",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310701",
            "telephone_number": "210-748-7200",
            "fax_number": "210-293-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 SAN PEDRO # 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167204",
            "telephone_number": "210-748-7200",
            "fax_number": "210-293-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "KEVIN",
        "middle_name": "DYKES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "7886DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBCE LIC. NO.",
            "identifier": "7886DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Burkett Shroff, M.D.
• Joshua T Shroll, MD, MPH
• Ellen Shrouf, PH.D.
• Steven Shroyer, MD
• Angelica Torres Shrum, PA-C
• Steven Allan Shuel, DC
• Tim Shuff
• Walter James Shuham, MD
• Mahim Shuja, M.D.
• Dee'Sha Shular

• Rehabilitation Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.