ALAN SHACKELFORD M.D
NPI 1699982686
Specialist in Aurora, CO

Q: What is Alan Shackelford's NPI number?

The NPI number for Alan Shackelford is 1699982686. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Alan Shackelford's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Alan Shackelford was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2007PECOS Enrolled

14001 E ILIFF AVE, SUITE 118, AURORA, CO 80014(303) 778-1131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alan Shackelford M.d NPPES

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

ALAN SHACKELFORD M.D (NPI 1699982686) is an individual specialist in Aurora, Colorado, licensed in Colorado (33551) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699982686

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameALAN SHACKELFORDCredential: M.D

Location Address14001 E ILIFF AVE, SUITE 118Aurora, CO 80014-1405

Mailing Address646 Dixon RdBoulder, CO 80302-8747 · (303) 440-4250

Phone(303) 778-1131

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699982686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CO · 33551

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

14001 E ILIFF AVE, Aurora, CO 80014

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Other Identifiers 1

Other33551CO · State License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan Shackelford M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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