Individual provider Active NPI

Heather Ann Shaw, D.C.

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1952336760
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23980 Issued in CA
Practice address
844 Jackson Street
Santa Clara, CA 95050
Phone
(408) 249-0382
Fax
(408) 244-1310
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23980 CA
Chiropractor 111N00000X DC23980 CA Primary

Addresses

Primary practice location

844 Jackson Street
Santa Clara, CA 95050

Mailing address

844 Jackson Street
Santa Clara, CA 95050
Phone (408) 249-0382

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000414 CA Practitioner - Chiropractic 7315103603 Reassigns benefits to 1 organization
Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

844 Jackson St
Santa Clara, CA 95050-5419
Phone (408) 249-0382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC23980CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer College of Chiropractic West Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Nova Chiropractic - a Shaw Optimal Health Chiropractic Corp Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
El Camino Health Medical Network, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

90 E Tasman Dr
San Jose, CA 95134
Phone (408) 944-6000

844 Jackson St
Santa Clara, CA 95050
Phone (408) 249-0382

1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1952336760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 JACKSON STREET",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-249-0382",
            "fax_number": "408-244-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 JACKSON STREET",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-249-0382",
            "fax_number": "408-244-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23980",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.