Provider Demographics
NPI:1881711836
Name:SHAPIRO, BURTON NEAL (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:BURTON
Middle Name:NEAL
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30012 NORTH CAVE CREEK ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331
Mailing Address - Country:US
Mailing Address - Phone:602-971-8464
Mailing Address - Fax:602-569-8017
Practice Address - Street 1:30012 N CAVE CREEK RD STE 104
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5833
Practice Address - Country:US
Practice Address - Phone:602-971-8464
Practice Address - Fax:602-992-5241
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4739111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0207OtherACUPUNCTURE LICENSE
AZ0207OtherACUPUNCTURE LICENSE