1. Home
  2. Directory
  3. Michigan
  4. Dearborn
  5. Chiropractor
  6. NPI Profile

DR. RANDY JOE SHALLOW CHIROPRACTIC
NPI 1609906866
Chiropractor in Dearborn, MI

Active since March 06, 2007
24820 MICHIGAN AVE, DEARBORN, MI 48124(313) 277-3766 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Randy Joe Shallow Chiropractic NPPES

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

DR. RANDY JOE SHALLOW CHIROPRACTIC (NPI 1609906866) is an individual chiropractor in Dearborn, Michigan and active in the NPI registry since March 2007. He is a graduate of Life Chiropractic College (1979).

NPPES Registry Identity

NPI1609906866
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDY JOE SHALLOWCredential: CHIROPRACTIC
Location Address24820 MICHIGAN AVEDearborn, MI 48124-1713
Mailing Address24820 Michigan AveDearborn, MI 48124-1713 · (313) 277-3766
Phone(313) 277-3766
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1979
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609906866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
24820 MICHIGAN AVE, Dearborn, MI 48124
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Randy Joe Shallow Chiropractor

Other Identifiers 1

Medicare ID-Type Unspecified0Q25207MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy Joe Shallow Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012069461
PECOS Enrollment IDI20090715000386

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.
432 services63 patients

Other Providers at the Same Location NPPES

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

SHALLOW CHIROPRACTIC PC
Chiropractor
24820 MICHIGAN AVE
DEARBORN, MI 48124
Wayne County (313) 277-3766

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 Randy Shallow's NPI number?

The NPI number for Randy Shallow is 1609906866. It was assigned to this individual provider in the NPPES registry on March 6, 2007. The provider is also known as Dr. Randy Joe Shallow Chiropractor.

Where is Randy Shallow located?

Randy Shallow practices at 24820 Michigan Ave, Dearborn, MI 48124. The listed phone number is (313) 277-3766.

What is Randy Shallow's specialty?

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

Is Randy Shallow enrolled in Medicare?

Yes. Randy Shallow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Shallow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.