David Gregory Shadrick Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3169 Issued in MA

Practice address

49 Holland St
Somerville, MA 02144

Phone

(617) 625-8707

Fax

(617) 666-1763

NPI assigned

Dec 5, 2007

Last updated

Jul 28, 2016By the provider in NPPES

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 MA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis Square Chiropractic, PCGroup PAC ID 6103088687, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davis Square Chiropractic, PC

  • Chiropractor
  • Somerville, MA
  • NPI 1710251632
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Jennifer Jaynes, PLLC

  • Chiropractor
  • Fall River, MA
  • NPI 1699011759
  NPD (past)
• Fall River Spine & Disc Center

  • Chiropractor
  • Fall River, MA
  • NPI 1538316807
  NPD (past)
• Gregory a. Bauer, D.C.,P.C.

  dba Arlington Chiropractic

  • Chiropractor
  • Arlington, MA
  • NPI 1598974511
  NPD (past)
• Carolina Forest Chiropractic, LLC

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1932207305
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1922281567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02144",
            "telephone_number": "617-625-8707",
            "fax_number": "617-666-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HOLLAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "02144",
            "telephone_number": "617-625-8707",
            "fax_number": "617-666-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADRICK",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaby Sepulveda
• Kayla J Serowik, DPT
• Subrena Service
• Katie Serwa
• Cassandra Kaitlyn Shabarekh, REGISTERED NURSE
• Jason Shaffer, MD
• Marhama Alvi Shah, D.M.D
• Joseph Shahbazian, DR
• Rama Shamieh, PHARMD
• Megan Elizabeth Shannon

• Chiropractor in Somerville, MA
• Providers in Somerville, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.