Active NPI
Shauna Shoultz
- Chiropractor
- Brandon, SD
National Provider Identifier
1780125658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1311
- Practice address
- 1302 E Rushmore Dr
Brandon, SD 57005-1616 - Phone
- (605) 582-6546
- NPI assigned
- Mar 13, 2017
- 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 | 1311 | SD | Primary |
Addresses
Primary practice location
1302 E Rushmore Dr
Brandon, SD 57005-1616
Mailing address
1302 E Rushmore Dr
Brandon, SD 57005-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170501001947 | SD | Practitioner - Chiropractic | 9133406192 | Practice locations: Huron, SD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 21St St SW
Suite 2
Huron, SD 57350-4399
Phone (605) 412-8880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Fitzgerald Ward DC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Brandon, SD
- NPI 1598954364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1780125658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 E RUSHMORE DR",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 E RUSHMORE DR",
"city": "BRANDON",
"state": "SD",
"postal_code": "570051616",
"telephone_number": "605-582-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOULTZ",
"first_name": "SHAUNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.