Individual provider Active NPI

Robin D Shampine, D.C.

  • Chiropractor
  • Renton, WA
National Provider Identifier
1922142157
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003574 Issued in WA
Practice address
3901 NE 4TH St
Suite 109
Renton, WA 98056-4100
Phone
(425) 277-0577
Fax
(425) 277-0652
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003574 WA Primary

Addresses

Primary practice location

3901 NE 4TH St
Suite 109
Renton, WA 98056-4100

Mailing address

3901 NE 4TH St
Suite 109
Renton, WA 98056-4100
Phone (425) 277-0577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325001174 WA Practitioner - Chiropractic 4587553151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00003574WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kremer Enterprise PLLC Dba Highlands Chiropractic Chiropractor CurrentSince Feb 2, 2025 Accepting new patients
Doc Robin D PS Chiropractor CurrentSince Aug 20, 2001 Accepting new patients
Warninger Chiropractic Clinic - Selah Office Chiropractor Past Accepting new patients
Crofts Inc Chiropractor Past Accepting new patients

Locations

3901 NE 4th St
Ste 109
Renton, WA 98056
Phone (425) 277-0577

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1922142157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NE 4TH ST",
            "address_2": "SUITE 109",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564100",
            "telephone_number": "425-277-0577",
            "fax_number": "425-277-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NE 4TH ST",
            "address_2": "SUITE 109",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564100",
            "telephone_number": "425-277-0577",
            "fax_number": "425-277-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMPINE",
        "first_name": "ROBIN",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.