Chalyse H. Shaw, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

S01715PT Issued in MD

Practice address

17112 York Rd
Parkton, MD 21120-9717

Phone

(410) 357-4889

Fax

(410) 357-4435

NPI assigned

Jan 6, 2007

Last updated

May 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1994

Medicare assignment

May accept Medicare assignment

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.

• Chalyse H. Shaw, DC, PC

  • Medical Specialty Clinic/Center
  • Parkton, MD
  • NPI 1245558493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1891843058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "HEREFORD",
            "state": "MD",
            "postal_code": "211110560",
            "telephone_number": "410-357-4889",
            "fax_number": "410-357-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17112 YORK RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209717",
            "telephone_number": "410-357-4889",
            "fax_number": "410-357-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHALYSE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MD",
            "license": "S01715PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "M253CH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "390546",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUECROSSSHIELD",
            "identifier": "R7290001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer H Reider, PTA
• Robert L. Gattuso, M.D., PA
• Susan H Schrock, M.D.
• Jennifer Seman, PA-C
• Sensational Sustenance, LLC
• Erica Silverstein, PHARMD
• Maura Alexandra Simms, DPT ATC
• John Keith Spitznagel Jr., D.D.S., PH.D.
• Renee Marie Svehla Knutson
• Thomas S Melanson DDS LLC

• Nutrition Chiropractor in Parkton, MD
• Providers in Parkton, MD by specialty
• Nutrition Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.