SHAW CHIROPRACTIC AND SPORTS INJURY CENTER (NPI# 1003240821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003240821 |
| Entity Type | Organization |
| Organization Name | SHAW CHIROPRACTIC AND SPORTS INJURY CENTER |
| Other Organization Name | SHAW CHIROPRACTIC & SPORTS INJURY CENTER |
| Practice Address |
2555 Berkshire Pkwy Suite F Clive IA 50325-4646 |
| Practice Telephone | 5159876332 |
| Mailing Telephone | 5159876332 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | DR. ABEL JONATHAN SHAW (OWNER) |
| Authorized Official Telephone | 5159876332 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007096 | IA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Shaw Chiropractic & Sports Injury Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SHAW CHIROPRACTIC AND SPORTS INJURY CENTER INC. | 2555 Berkshire Pkwy, Suite F, Clive, IA 50325 |
| Street Address |
2555 BERKSHIRE PKWY SUITE F |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447225289 | Julie Ann Waggoner | Nurse Practitioner | 2555 Berkshire Pkwy, Clive, IA 50325-4646 | 2006-02-22 |
| 1275814329 | Lindsey Jo Adams | Speech-Language Pathologist | 2555 Berkshire Pkwy, Suite B, Clive, IA 50325-4646 | 2011-09-02 |
| 1487945606 | Livewell Clinic LLC | Chiropractor | 2555 Berkshire Pkwy, Suite F, Clive, IA 50325-4646 | 2011-04-21 |
| 1790086304 | Amy L Dannenfeldt | Speech-Language Pathologist | 2555 Berkshire Pkwy, Suite B, Clive, IA 50325-4646 | 2010-11-12 |
| 1710297049 | Meghan Elizabeth Kobes | Speech-Language Pathologist | 2555 Berkshire Pkwy, Suite B, Clive, IA 50325-4646 | 2010-10-20 |
| 1699912980 | Susan Vanessen | Speech-Language Pathologist | 2555 Berkshire Pkwy, Suite B, Clive, IA 50325-4646 | 2009-01-08 |
| 1265684229 | Samantha Schwenneker | Nurse Practitioner | 2555 Berkshire Pkwy, Clive, IA 50325-4646 | 2008-10-21 |
| 1700061991 | Abel Jonathan Shaw | Chiropractor | 2555 Berkshire Pkwy, Suite F, Clive, IA 50325-4646 | 2008-01-07 |
| 1942408976 | Zachary Ryan Watkins | Chiropractor | 2555 Berkshire Pkwy, Ste. F, Clive, IA 50325-4646 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872382 | Champion Family Chiropractic, LLC | Chiropractor | 11050 Hickman Rd, Clive, IA 50325-3740 | 2019-03-28 |
| 1649740929 | Monty Kluger | Chiropractor | 8350 Hickman Rd Ste 4, Clive, IA 50325-4311 | 2018-11-29 |
| 1215404157 | Justin John Behnke | Chiropractor | 12931 University Ave Ste 103, Clive, IA 50325-8282 | 2018-10-29 |
| 1457741712 | Sweers Family Chiropractic, Plc | Chiropractor | 15920 Hickman Rd Ste 900, Clive, IA 50325-8013 | 2015-01-26 |
| 1083003404 | Elizabeth Kay Sweers | Chiropractor | 2200 Nw 159th St, Suite 900, Clive, IA 50325-7988 | 2015-01-22 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1427458405 | Align Right Chiropractic | Chiropractor | 8170 Hickman Rd Ste 4, Clive, IA 50325-4400 | 2014-08-27 |
| 1033451240 | Simply Chiropractic LLC | Chiropractor | 12871 University Ave., Suite #110, Clive, IA 50325-8256 | 2013-03-26 |
| 1609143734 | Robert Johnson Adams | Chiropractor | 13435 University Ave Ste 150, Clive, IA 50325-8250 | 2011-11-17 |
| 1588980411 | Brady Joseph Bird | Chiropractor | 15966 Hickman Rd, Clive, IA 50325-7948 | 2010-04-16 |
| Find all providers in CLIVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.