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J. DAVID SHORE, P.A.
NPI 1629387832
Chiropractor in Jacksonville, FL

Active since October 05, 2010
2431 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217(904) 733-8833(904) 733-3617 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About J. David Shore, P.a. NPPES

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

J. DAVID SHORE, P.A. (NPI 1629387832) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since October 2010. The organization lists James David Shore, Officer, as its authorized official.

NPPES Registry Identity

NPI1629387832
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJ. DAVID SHORE, P.A.
Location Address2431 UNIVERSITY BLVD WJacksonville, FL 32217-2037
Mailing Address2431 University Blvd WJacksonville, FL 32217-2037 · (904) 733-8833 · Fax (904) 733-3617
Phone(904) 733-8833
Fax(904) 733-3617
Organization SubpartNo
Authorized OfficialJames David ShoreOfficer · (904) 733-8833
Enumeration DateOctober 5, 2010
✔ NPI 1629387832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH4821
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.
2431 UNIVERSITY BLVD W, Jacksonville, FL 32217
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Other Identifiers 2

Medicare PIN70864FL
Medicare UPINT84540FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J. David Shore, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to J. David Shore, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

James Shore, D.C.
Chiropractic
NPI 1033184189
2431 UNIVERSITY BLVD W
Jacksonville, FL 32217
(904) 733-8833
✔ Accepts MedicareSame address

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

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 J. David Shore, P.A.'s NPI number?

The NPI number for J. David Shore, P.A. is 1629387832. It was assigned to this organization in the NPPES registry on October 5, 2010.

Where is J. David Shore, P.A. located?

J. David Shore, P.A. is located at 2431 University Blvd W, Jacksonville, FL 32217. The listed phone number is (904) 733-8833.

What is J. David Shore, P.A.'s specialty?

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

Is J. David Shore, P.A. enrolled in Medicare?

Yes. J. David Shore, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J. David Shore, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to J. David Shore, P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for J. David Shore, P.A. was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.