Individual provider Active NPI

Shad Ashley McClain, D.C.

  • Chiropractor
  • Calico Rock, AR
National Provider Identifier
1942276217
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1582 Issued in AR
Practice address
201 Hwy 223 (JCT 56 & 223)
Calico Rock, AR 72519
Phone
(870) 297-2273
Fax
(870) 297-2274
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1582 AR Primary

Addresses

Primary practice location

201 Hwy 223 (JCT 56 & 223)
Calico Rock, AR 72519

Mailing address

PO Box 373
201 Hwy 223 S. (JCT 56 & 223)
Calico Rock, AR 72519-0373
Phone (870) 297-2273

Other identifiers 1

IdentifierTypeStateIssuer
152317718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000858 AR Practitioner - Chiropractic 6901965813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Hwy 223
Calico Rock, AR 72519-0373
Phone (870) 297-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1582ARMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
McClain Chiropractic Inc Chiropractor CurrentSince Sep 24, 2023 Accepting new patients
McClain Chiropractic Inc Chiropractor CurrentSince Oct 10, 2002 Accepting new patients

Organizations & group practices 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1942276217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "address_2": "201 HWY 223 S. (JCT 56 & 223)",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725190373",
            "telephone_number": "870-297-2273",
            "fax_number": "870-297-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HWY 223 (JCT 56 & 223)",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "72519",
            "telephone_number": "870-297-2273",
            "fax_number": "870-297-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "SHAD",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152317718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calico Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.