Organization Active NPI

King Chiropractic, a Shapiro Professional Corporation

  • Chiropractor
  • Eureka, CA
National Provider Identifier
1811149180
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21505 Issued in CA
Legal business name
KING CHIROPRACTIC, A SHAPIRO PROFESSIONAL CORPORATION
Practice address
1628 Broadway
Eureka, CA 95501-0136
Phone
(707) 445-2570
Fax
(707) 445-2577
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Ms. Hanni Kay Shapiro
Title
Adminstrator
Phone
(707) 268-8239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21505 CA Primary

Addresses

Primary practice location

1628 Broadway
Eureka, CA 95501-0136

Mailing address

1628 Broadway
Eureka, CA 95501-0136
Phone (707) 445-2570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090209000063 CA Part B Supplier - Clinic/Group Practice 4385709328 Receives reassigned benefits from 2 practitioners
Practice locations: Eureka, CA

National Provider Directory

National Provider Directory

Locations

3134 H St
Eureka, CA 95503
Phone (707) 268-8239

1628 Broadway
Eureka, CA 95501
Phone (707) 445-2570

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1811149180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 BROADWAY",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010136",
            "telephone_number": "707-445-2570",
            "fax_number": "707-445-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 BROADWAY",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010136",
            "telephone_number": "707-445-2570",
            "fax_number": "707-445-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CHIROPRACTIC, A SHAPIRO PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "HANNI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "707-268-8239",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.