Individual provider Active NPI

Ryan Shaw, D.C.

  • Chiropractor
  • Bowling Green, KY
National Provider Identifier
1831590512
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012507 Issued in NY
Practice address
651 US 31W Byp Ste 202
Bowling Green, KY 42101-4977
Phone
(270) 904-1837
Fax
(270) 904-6394
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012507 NY Primary

Addresses

Primary practice location

651 US 31W Byp Ste 202
Bowling Green, KY 42101-4977

Mailing address

651 US 31W Byp Ste 202
Bowling Green, KY 42101-4977
Phone (270) 904-1837

Other practice location 1

353 Saratoga Rd
Glenville, NY 12302-5117
Phone (518) 399-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191119001575 GA Practitioner - Chiropractic 2466884176 Reassigns benefits to 1 organization
I20220414001201 KY Practitioner - Chiropractic 2466884176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowling Green Family Chiropractic PLLCGroup PAC ID 4981942240, 3 clinicians

Practice addresses (Care Compare)

651 US 31W Byp
Suite 202
Bowling Green, KY 42101-4977
Phone (270) 904-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012507NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowling Green Family Chiropractic PLLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
New Beginnings Chiropractic of Eastern Kentucky PLLC Chiropractor CurrentSince Sep 1, 2023 Accepting new patients
Thrive Chiropractic, PC Chiropractor PastSince Apr 6, 2023 Accepting new patients

Locations

651 US 31W Byp
Ste 202
Bowling Green, KY 42101
Phone (270) 904-1837

725 Chestnut St
Bowling Green, KY 42101

1004 Bypass S
Unit 5
Lawrenceburg, KY 40342
Phone (502) 839-7774

5817 Tates Creek Rd
Nicholasville, KY 40356
Phone (859) 374-1994

2735 Bardstown Rd
St Catharine, KY 40061
Phone (502) 373-8533

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1831590512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 US 31W BYP STE 202",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014977",
            "telephone_number": "270-904-1837",
            "fax_number": "270-904-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 US 31W BYP STE 202",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014977",
            "telephone_number": "270-904-1837",
            "fax_number": "270-904-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Saratoga Rd",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123025117",
            "country_code": "US",
            "telephone_number": "518-399-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RYAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.

Verify at the official NPI Registry.