Earl Wilson Shaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13869 Issued in CA

Practice address

27536 Ynez Rd
Ste F19
Temecula, CA 92591-4665

Phone

(951) 695-1176

Fax

(951) 695-2096

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1922003979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26810 YNEZ CT STE D",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914691",
            "telephone_number": "951-695-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27536 YNEZ RD",
            "address_2": "STE F19",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914665",
            "telephone_number": "951-695-1176",
            "fax_number": "951-695-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "EARL",
        "middle_name": "WILSON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emanuel Afram Shapera, MD
• Susan Sharko, DPT
• Purnima Sharma
• Brian Robert Sharp, PA-C
• Christina Shaw, PA-C
• Kylie Brianne Shaw
• Kimberlly Luz Sheehan, FNP-BC
• Michael Alexander Sheehan
• Destiny Divina Sheehy
• Rebecca Sheets, NP-C

• All providers in Temecula, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.