SHAW CHIROPRACTIC LLC
NPI 1912659483
Chiropractor in Derby, KS

Active since January 25, 2022
320 N ROCK RD STE 300, DERBY, KS 67037(316) 789-8100 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shaw Chiropractic Llc NPPES

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

SHAW CHIROPRACTIC LLC (NPI 1912659483) is a healthcare organization registered as a chiropractor in Derby, Kansas and active in the NPI registry since January 2022. The organization lists Rodney E Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1912659483
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHAW CHIROPRACTIC LLC
Location Address320 N ROCK RD STE 300Derby, KS 67037-3972
Mailing Address320 N Rock Rd Ste 300Derby, KS 67037-3972 · (316) 789-8100
Organization SubpartNo
Authorized OfficialRodney E ShawOwner · (316) 789-8100
Enumeration DateJanuary 25, 2022
NPPES CertifiedJanuary 25, 2022
✔ NPI 1912659483 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.
320 N ROCK RD STE 300, Derby, KS 67037

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 revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaw Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20220125002659Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

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

Chiropractor
320 N ROCK RD STE 300
DERBY, KS 67037

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 Shaw Chiropractic LLC's NPI number?

The NPI number for Shaw Chiropractic LLC is 1912659483. It was assigned to this organization in the NPPES registry on January 25, 2022.

Where is Shaw Chiropractic LLC located?

Shaw Chiropractic LLC is located at 320 N Rock Rd Ste 300, Derby, KS 67037. The listed phone number is (316) 789-8100.

What is Shaw Chiropractic LLC's specialty?

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

Is Shaw Chiropractic LLC enrolled in Medicare?

Yes. Shaw Chiropractic LLC is registered in the Medicare PECOS enrollment system.

When is Shaw Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kansas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Shaw Chiropractic LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.