DERECK DESMOND SHAW L.AC.
NPI 1124863857
Acupuncturist in Grants Pass, OR

Active since June 25, 2024
910 NE D ST, GRANTS PASS, OR 97526(541) 476-4611 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dereck Desmond Shaw L.ac. NPPES

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

DERECK DESMOND SHAW L.AC. (NPI 1124863857) is an individual acupuncturist in Grants Pass, Oregon, licensed in Oregon (216398) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1124863857
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameDERECK DESMOND SHAWCredential: L.AC.
Location Address910 NE D STGrants Pass, OR 97526-2325
Mailing Address189 Smokey LnGrants Pass, OR 97527-4840 · (541) 373-7423
Sole ProprietorYes
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
NPI 1124863857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in OR · 216398
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
910 NE D ST, Grants Pass, OR 97526

Accepted Insurance

Other Providers at the Same Location NPPES

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

Acupuncturist
910 NE D ST, STE 104
GRANTS PASS, OR 97526

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 Dereck Shaw's NPI number?

The NPI number for Dereck Shaw is 1124863857. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Dereck Shaw located?

Dereck Shaw practices at 910 NE D St, Grants Pass, OR 97526. The listed phone number is (541) 476-4611.

What is Dereck Shaw's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Dereck Shaw accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Dereck Shaw 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 Dereck Shaw was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.