Active NPI
David G Shaw, DC
- Chiropractor
- Huntington Beach, CA
National Provider Identifier
1760490619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26492
- Practice address
- 18652 Florida St
Ste 245
Huntington Beach, CA 92648-1924 - Phone
- (714) 698-3460
- Fax
- (714) 698-3463
- NPI assigned
- Aug 4, 2006
- Last updated
- Oct 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 | DC26492 | CA | Primary |
Addresses
Primary practice location
18652 Florida St
Ste 245
Huntington Beach, CA 92648-1924
Mailing address
18652 Florida St
Ste 245
Huntington Beach, CA 92648-1924
Phone (714) 698-3460
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 |
|---|---|---|---|
| DC26492 | CA | MD | Chiropractor |
| 26492 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1760490619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18652 FLORIDA ST",
"address_2": "STE 245",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481924",
"telephone_number": "714-698-3460",
"fax_number": "714-698-3463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18652 FLORIDA ST",
"address_2": "STE 245",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481924",
"telephone_number": "714-698-3460",
"fax_number": "714-698-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DAVID",
"middle_name": "G",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.