Raymond Todd Shaver, DC DICCP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1781 Issued in NC

Practice address

4421 Junction Park Drive
Suite 100
Wilmington, NC 28412-2263

Phone

(910) 452-5555

Fax

(910) 452-5044

NPI assigned

Sep 20, 2006

Last updated

May 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shaver ChiropracticGroup PAC ID 8426117615, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shaver Chiropractic

  dba Shaver Chiropractic & Natural Medicine Office, PA

  • Chiropractor
  • Wilmington, NC
  • NPI 1023115474
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1871690222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 JUNCTION PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122263",
            "telephone_number": "910-452-5555",
            "fax_number": "910-452-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 JUNCTION PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122263",
            "telephone_number": "910-452-5555",
            "fax_number": "910-452-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "RAYMOND",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DC DICCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1781",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NC",
            "license": "1781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0877B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890877B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER PTAN",
            "identifier": "2446941B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVIDER PTAN",
            "identifier": "2446941A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teddi Jo Sharpton, BA, LMBT
• Colleen Mary Shaughnessy, NURSE PRACTITIONER
• Michael Reilly Shaughnessy, MD
• Leah Shavalier, PSYD
• Shaver Chiropractic (Shaver Chiropractic & Natural Medicine Office, PA)
• Ashley Shaw
• Charles Thomas Shaw, PHARMD
• David Lawrence Shaw, PA
• Deborah L Shaw, LMBT
• Kara Shaw

• Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.