Organization Active NPI

Shuemake Family Chiropractic, Inc.

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1992918189
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5076 Issued in CO
Legal business name
SHUEMAKE FAMILY CHIROPRACTIC, INC.
Practice address
5657 S Himalaya St
250
Centennial, CO 80015-5307
Phone
(303) 617-0777
Fax
(303) 617-1510
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Daniel E. Shuemake, D.C.NPI 1164568853
Title
Owner
Phone
(303) 617-0777

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 5076 CO Primary

Addresses

Primary practice location

5657 S Himalaya St
250
Centennial, CO 80015-5307

Mailing address

5657 S Himalaya St
250
Centennial, CO 80015-5307
Phone (303) 617-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071019000143 CO Part B Supplier - Clinic/Group Practice 5193811305 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

5657 S Himalaya St
Ste 250
Centennial, CO 80015
Phone (303) 617-0777

Practitioners & affiliated clinicians

Practitioners 1

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1992918189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST",
            "address_2": "250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155307",
            "telephone_number": "303-617-0777",
            "fax_number": "303-617-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST",
            "address_2": "250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155307",
            "telephone_number": "303-617-0777",
            "fax_number": "303-617-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUEMAKE FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "SHUEMAKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-617-0777",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.