DR. ETHAN BENJAMIN SHIM DC
NPI 1073405551
Chiropractor in Broadview Heights, OH

Q: What is Ethan Shim's NPI number?

The NPI number for Ethan Shim is 1073405551. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Q: What is Ethan Shim's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Shim was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2025

1100 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147(440) 230-1113 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ethan Benjamin Shim Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN BENJAMIN SHIM DC (NPI 1073405551) is an individual chiropractor in Broadview Heights, Ohio, licensed in Ohio (DC-05473) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1073405551

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. ETHAN BENJAMIN SHIMCredential: DC

Location Address1100 W ROYALTON RDBroadview Heights, OH 44147-3946

Mailing Address1100 W Royalton RdBroadview Heights, OH 44147-3946 · (440) 230-1113

Phone(440) 230-1113

Sole ProprietorNo

Enumeration DateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1073405551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OH · DC-05473

Definition

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.

1100 W ROYALTON RD, Broadview Heights, OH 44147

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHSOURCE OF BROADVIEW HEIGHTS

Chiropractor

1100 W ROYALTON RD, SUITE H
BROADVIEW HTS, OH 44147

Cuyahoga County (330) 328-6499

DR. MATTHEW JOHN STASEK D.C.

Chiropractor (Independent Medical Examiner)

1100 W ROYALTON RD
BROADVIEW HEIGHTS, OH 44147

Cuyahoga County (440) 230-1113

MATTHEW STASEK DC LLC

Chiropractor

1100 W ROYALTON RD
BROADVIEW HEIGHTS, OH 44147

Cuyahoga County (440) 230-1113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Shim's NPI number?

The NPI number for Ethan Shim is 1073405551. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Ethan Shim located?

Ethan Shim practices at 1100 W Royalton Rd, Broadview Heights, OH 44147. The listed phone number is (440) 230-1113.

What is Ethan Shim's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Ethan Shim was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.