Organization Active NPI

Shaw Chiropractic Center

  • Chiropractor
  • Ellensburg, WA
National Provider Identifier
1972659415
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001232 Issued in WA
Legal business name
SHAW CHIROPRACTIC CENTER
Practice address
305 N Anderson
Ellensburg, WA 98926-3361
Phone
(509) 962-9633
Fax
(509) 962-9634
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. F James Shaw Jr., DC
Title
Chiropractor
Phone
(509) 962-9633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00001232 WA Primary

Addresses

Primary practice location

305 N Anderson
Ellensburg, WA 98926-3361

Mailing address

305 N Anderson
Ellensburg, WA 98926-3361
Phone (509) 962-9633

Other identifiers 3

IdentifierTypeStateIssuer
2013902MedicaidWA
0015384OtherWALAND I
66425964OtherWAGROUP HEALTH

National Provider Directory

National Provider Directory

Locations

305 N Anderson St
Ellensburg, WA 98926
Phone (509) 962-9633

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1972659415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N ANDERSON",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263361",
            "telephone_number": "509-962-9633",
            "fax_number": "509-962-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N ANDERSON",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263361",
            "telephone_number": "509-962-9633",
            "fax_number": "509-962-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-962-9633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2013902",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAND I",
            "identifier": "0015384",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "66425964",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.