Individual provider Active NPI

David Ardin Shields, D.C.

  • Chiropractor
  • Paoli, PA
National Provider Identifier
1972501468
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002446L Issued in PA
Practice address
21 Plank Ave
Suite 108
Paoli, PA 19301-1785
Phone
(610) 644-6640
Fax
(610) 644-6641
NPI assigned
Jul 8, 2005
Reactivated
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002446L PA Primary

Addresses

Primary practice location

21 Plank Ave
Suite 108
Paoli, PA 19301-1785

Mailing address

21 Plank Ave
Suite 108
Paoli, PA 19301-1785
Phone (610) 644-6640

Other identifiers 3

IdentifierTypeStateIssuer
P1855983OtherPAOXFORD HEALTH PLAN ID
0877346000OtherPAKHPE ID
P11043237OtherPAMULTIPLAN ID

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

LicenseStateTypeSpecialty
DC002446LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972501468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PLANK AVE",
            "address_2": "SUITE 108",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011785",
            "telephone_number": "610-644-6640",
            "fax_number": "610-644-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PLANK AVE",
            "address_2": "SUITE 108",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011785",
            "telephone_number": "610-644-6640",
            "fax_number": "610-644-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DAVID",
        "middle_name": "ARDIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002446L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN ID",
            "identifier": "P1855983",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE ID",
            "identifier": "0877346000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN ID",
            "identifier": "P11043237",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.