Organization Active NPI

Shaw Chiropractic and Joint Center

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1891120333
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2448 Issued in TN
Legal business name
SHAW CHIROPRACTIC AND JOINT CENTER
Practice address
711 E Main St
Suite 102
Hendersonville, TN 37075-2740
Phone
(615) 642-0243
NPI assigned
Sep 3, 2013
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Dr. Kenneth Ryan Shaw, D.C.NPI 1285947424
Title
Doctor of Chiropractic
Phone
(615) 642-0243

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
Chiropractor 111N00000X 2448 TN Primary

Addresses

Primary practice location

711 E Main St
Suite 102
Hendersonville, TN 37075-2740

Mailing address

711 E Main St
Suite 102
Hendersonville, TN 37075-2740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130917000283 TN Part B Supplier - Clinic/Group Practice 4981848744 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1891120333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752740",
            "telephone_number": "615-642-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW CHIROPRACTIC AND JOINT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "615-642-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.