Organization Active NPI

Evolve Family Chiropractic, PLLC

  • Chiropractor
  • Woodfin, NC
National Provider Identifier
1932812922
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVOLVE FAMILY CHIROPRACTIC, PLLC
Practice address
41 N Merrimon Ave Unit 111
Woodfin, NC 28804-1364
Phone
(828) 252-7223
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Ian Shaw, D.C.NPI 1700592821
Title
Owner
Phone
(828) 252-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

41 N Merrimon Ave Unit 111
Woodfin, NC 28804-1364

Mailing address

41 N Merrimon Ave Unit 111
Woodfin, NC 28804-1364
Phone (828) 252-7223

Other identifiers 1

IdentifierTypeStateIssuer
5554OtherNCCHIROPRACTIC LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

41 N Merrimon Ave
Unit 111
Woodfin, NC 28804
Phone (802) 343-1331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1932812922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N MERRIMON AVE UNIT 111",
            "city": "WOODFIN",
            "state": "NC",
            "postal_code": "288041364",
            "telephone_number": "828-252-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N MERRIMON AVE UNIT 111",
            "city": "WOODFIN",
            "state": "NC",
            "postal_code": "288041364",
            "telephone_number": "828-252-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-252-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NUMBER",
            "identifier": "5554",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodfin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.