Shane A McCall, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7250 Issued in AZ

Practice address

21681 N 77TH Ave
Suite 1415
Peoria, AZ 85382-2132

Phone

(623) 572-9200

Fax

(623) 572-9204

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspen Rae LLCGroup PAC ID 2062548472, 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 and National Provider Directory roles.

• Aspen Rae LLC

  • Rehabilitation Chiropractor
  • Peoria, AZ
  • NPI 1659694156
  Medicare reassignment Care Compare group NPD Authorized official
• Casalino Chiropractic Center PC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1881815504
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1912933227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE",
            "address_2": "SUITE 1415",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822132",
            "telephone_number": "623-572-9200",
            "fax_number": "623-572-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE",
            "address_2": "SUITE 1415",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822132",
            "telephone_number": "623-572-9200",
            "fax_number": "623-572-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "SHANE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mayzak
• Zachary James Mazeski, DPT
• Mbi Healthcare Services
• Jason McAddley
• Brittany A McArthur, M.D.
• Jordan McCann
• Leslie McCartney, NP-C
• Laressa E McCloyn
• Marci McClure, LMHC
• Michelle McClure, DMD

• Chiropractor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.