Provider Demographics
NPI:1568741973
Name:SHAPIRO FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:SHAPIRO FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-337-5000
Mailing Address - Street 1:10640 EAST BETHANY DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014
Mailing Address - Country:US
Mailing Address - Phone:303-337-5000
Mailing Address - Fax:303-337-5006
Practice Address - Street 1:10640 E BETHANY DR
Practice Address - Street 2:SUITE B
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2640
Practice Address - Country:US
Practice Address - Phone:303-337-5000
Practice Address - Fax:303-337-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1912042698OtherINDIVIDUAL NPI
COC47563Medicare Oscar/Certification