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DR. SHANE LYNN DAVIDSON DC
NPI 1083176390
Chiropractor in Austin, TX

Active since April 04, 2019
5100 W US HWY 290 SERVICE RD BLDG 2, STE 100, AUSTIN, TX 78735(737) 309-5617(800) 564-9101 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2021, Apr 4, 2019 (2 updates tracked since 2019).

About Dr. Shane Lynn Davidson Dc NPPES

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

DR. SHANE LYNN DAVIDSON DC (NPI 1083176390) is an individual chiropractor in Austin, Texas, licensed in Nebraska (1992) and active in the NPI registry since April 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1083176390
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE LYNN DAVIDSONCredential: DC
Location Address5100 W US HWY 290 SERVICE RD BLDG 2, STE 100Austin, TX 78735
Mailing Address5100 W Us Hwy 290 Service Rd Bldg 2, Ste 100Austin, TX 78735 · (737) 309-5617 · Fax (800) 564-9101
Phone(737) 309-5617
Fax(800) 564-9101
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1083176390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in NE · 1992✔ Licensed in TX · 16426
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.
5100 W US HWY 290 SERVICE RD BLDG 2, STE 100, Austin, TX 78735
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Lynn Davidson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214278555
PECOS Enrollment IDI20251230000855

Medicare Billing Reassignment

Medicare enrollment records show Shane Davidson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spine And Injury Center Of Austin
Same address
Chiropractor
5100 WEST HWY 290 SERVICE ROAD
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
NPI 1750176376 (512) 918-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
178 services16 patients

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 Shane Davidson's NPI number?

The NPI number for Shane Davidson is 1083176390. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Shane Davidson located?

Shane Davidson practices at 5100 W Us Hwy 290 Service Rd Bldg 2, Ste 100, Austin, TX 78735. The listed phone number is (737) 309-5617.

What is Shane Davidson's specialty?

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

Is Shane Davidson enrolled in Medicare?

Yes. Shane Davidson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Davidson reassigns Medicare benefits to Spine And Injury Center Of Austin (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Davidson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Shane Davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Davidson was last updated on October 14, 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.