Active NPI
Helen N. Shaw, D.C.
- Sports Physician Chiropractor
- San Jose, CA
National Provider Identifier
1932260379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC20787
- Practice address
- 855 Saratoga Ave
San Jose, CA 95129-2331 - Phone
- (408) 253-3396
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC20787 | CA | Primary |
Addresses
Primary practice location
855 Saratoga Ave
San Jose, CA 95129-2331
Mailing address
855 Saratoga Ave
San Jose, CA 95129-2331
Phone (408) 253-3396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770335473 | Other | CA | TAX ID # |
| DC20787 | Other | CA | CHIROPRACTIC LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC20787 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1932260379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 SARATOGA AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292331",
"telephone_number": "408-253-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 SARATOGA AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292331",
"telephone_number": "408-253-3396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "HELEN",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC20787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "770335473",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE #",
"identifier": "DC20787",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.