Shaw Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8019 Issued in FL

Legal business name

SHAW CHIROPRACTIC LLC

Practice address

8705 Perimeter Park Blvd Ste 6
Jacksonville, FL 32216-6353

Phone

(904) 997-1349

Fax

(904) 997-1369

NPI assigned

Oct 16, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Brown Shaw, D.CNPI 1518931849

Title

Ownwe

Phone

(904) 997-1349

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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.

• Andrea B Shaw, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1518931849
  Medicare reassignment Care Compare group NPD Authorized official
• Chad P Shaw, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1215901806
  Medicare reassignment Care Compare group NPD
• Dariell J Johnson, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1427755255
  NPD
• Victoria Tester, LMT

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1609641802
  NPD
• James Robinson

  • Massage Therapist
  • Jacksonville, FL
  • NPI 1720844970
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1801085725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 PERIMETER PARK BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166353",
            "telephone_number": "904-997-1349",
            "fax_number": "904-997-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 PERIMETER PARK BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166353",
            "telephone_number": "904-997-1349",
            "fax_number": "904-997-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "904-997-1349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatara's Passion Care,Inc
• Susan Elizabeth Shauger, M.D.
• Arshad Shauib, PHARMD
• Allison Shaunak
• Shannon R Shaunak
• Rachel Shaw-Wilson
• Andrea B Shaw, DC
• Andreae Arey Shaw, M.D.
• Andrew Brian Shaw, M.D.
• Ashley Lynn Shaw

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.