Organization Active NPI

Shadle Chiropractic Prof. Corp.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1871370031
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHADLE CHIROPRACTIC PROF. CORP.
Practice address
6109 Lindenhurst Ave
Los Angeles, CA 90048-4808
Phone
(323) 655-6558
NPI assigned
Sep 12, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Dr. Nathan Shadle, DCNPI 1801888771
Title
Ceo
Phone
(323) 655-6558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6109 Lindenhurst Ave
Los Angeles, CA 90048-4808

Mailing address

6109 Lindenhurst Ave
Los Angeles, CA 90048-4808
Phone (323) 655-6558

National Provider Directory

National Provider Directory

Locations

6109 Lindenhurst Ave
Los Angeles, CA 90048
Phone (323) 333-1943

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1871370031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 LINDENHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484808",
            "telephone_number": "323-655-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 LINDENHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484808",
            "telephone_number": "323-655-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADLE CHIROPRACTIC PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "SHADLE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-655-6558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.