SHEA CHIROPRACTIC CLINIC
NPI 1962540237
Chiropractor in Phoenix, AZ
About Shea Chiropractic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEA CHIROPRACTIC CLINIC (NPI 1962540237) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since February 2007. The organization lists Robert D. Larson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shea Chiropractic Clinic 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 Shea Chiropractic Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Shea Chiropractic Clinic's NPI number?
The NPI number for Shea Chiropractic Clinic is 1962540237. It was assigned to this organization in the NPPES registry on February 1, 2007.
Where is Shea Chiropractic Clinic located?
Shea Chiropractic Clinic is located at 3241 E Shea Blvd, Phoenix, AZ 85028. The listed phone number is (602) 996-3601.
What is Shea Chiropractic Clinic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Shea Chiropractic Clinic enrolled in Medicare?
Yes. Shea Chiropractic Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shea Chiropractic Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Shea Chiropractic Clinic. 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 Shea Chiropractic Clinic was last updated on September 20, 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.
# Shea Chiropractic Clinic · NPI 1962540237
Chiropractor organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1962540237 (Entity type: Organization)
- **Enumerated:** February 1, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Robert Larson, PRESIDENT
## Practice location
- **Address:** 3241 E SHEA BLVD, Phoenix, AZ 85028-3335
- **Phone:** (602) 996-3601 · **Fax:** (602) 996-0068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1962540237) · Data from the CMS NPPES public registry.