Samuel Shay, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CHR.0007890 Issued in CO

Practice address

1750 30TH St, Ste 1, #226
Boulder, CO 80301

Phone

(214) 810-8592

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1861047086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 30TH ST, STE 1, #226",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "214-810-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 30TH ST, STE 1, #226",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "214-810-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "CHR.0007890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drive.google.com/open?id=1XYRtoSosl-S9EXpDrlCUjfwoT6li8CLV",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant online drive folder. Please contact me before sending any information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA Compliant online drive folder",
            "address_1": "1750 30th st, Ste 1, #226",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharla Macy @ Associates
• Jyoti Sharma, LCSW
• Aaron M Shaver, DPT
• Christine Elizabeth Shaw, DPT
• Cristina Lee Shaw, PHD, MSW
• Shbo LLC
• Brian Thomas Shea, D.O.
• Kat A. Shea, CMT, NMT, CHOM
• Matthew Patrick Shea, P.T.
• Whitney Shea, PTA

• Nutrition Chiropractor in Boulder, CO
• Providers in Boulder, CO by specialty
• Nutrition Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.