DR. STEPHEN BURNET SHAW D.C.
NPI 1720104847
Chiropractor in Las Vegas, NV

Q: What is Stephen Shaw's NPI number?

The NPI number for Stephen Shaw is 1720104847. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Stephen Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephen Shaw 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.

Active since March 21, 2007

2625 S RAINBOW BLVD STE C102, LAS VEGAS, NV 89146(702) 873-2307(702) 873-2480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Stephen Burnet Shaw D.c. NPPES

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

DR. STEPHEN BURNET SHAW D.C. (NPI 1720104847) is an individual chiropractor in Las Vegas, Nevada, licensed in Nevada (B00705) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720104847

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. STEPHEN BURNET SHAWCredential: D.C.

Location Address2625 S RAINBOW BLVD STE C102Las Vegas, NV 89146-5181

Mailing Address2625 S Rainbow Blvd Ste C102Las Vegas, NV 89146-5181 · (702) 873-2307 · Fax (702) 873-2480

Phone(702) 873-2307

Fax(702) 873-2480

Sole ProprietorYes

Enumeration DateMarch 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720104847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NV · B00705

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.

2625 S RAINBOW BLVD STE C102, Las Vegas, NV 89146

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Burnet Shaw D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Robert Odell MD Phd Medical Enterprises

1.4 mi

Pain Medicine

8084 W SAHARA AVE, SUITE E
Las Vegas, NV 89117

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Dr. Robert H. Odelljr. M.D., Ph.D.
4 clinicians in this Medicare group

NPI 1306124086 (702) 257-7246

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

Other Providers at the Same Location NPPES 6

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

SEAN D HAMPTON DC

Chiropractor