Organization Active NPI

Shadowood Chiropractic Center,Inc.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1760766380
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHADOWOOD CHIROPRACTIC CENTER,INC.
Practice address
9799 Glades Rd
Boca Raton, FL 33434-3916
Phone
(561) 488-4000
Fax
(561) 488-4116
NPI assigned
Sep 30, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Allan A Dellabella, D.C.NPI 1710069265
Title
Owner/Doctor
Phone
(561) 488-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

9799 Glades Rd
Boca Raton, FL 33434-3916

Mailing address

9799 Glades Rd
Boca Raton, FL 33434-3916
Phone (561) 488-4000

Other identifiers 1

IdentifierTypeStateIssuer
70958OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000554 FL Part B Supplier - Clinic/Group Practice 7113185638 Receives reassigned benefits from 4 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

9799 Glades Rd
Boca Raton, FL 33434
Phone (561) 488-4000

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1760766380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9799 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343916",
            "telephone_number": "561-488-4000",
            "fax_number": "561-488-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9799 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343916",
            "telephone_number": "561-488-4000",
            "fax_number": "561-488-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOWOOD CHIROPRACTIC CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "DELLABELLA",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "561-488-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "70958",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.