MR. JORDAN D SHAW (D.C.) – Chiropractor, NPI 1255846986

MR. JORDAN D SHAW (D.C.) is a healthcare provider. based in Grants pass, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 5867 (OR). The NPI Number for MR. JORDAN D SHAW (D.C.) is 1255846986

Main info

Male
9 Years Of Experience
Name
MR. JORDAN D SHAW (D.C.)
NPI
1255846986
Phone
(541) 471-0397
Address
333 SW 5TH ST STE B
Enumeration Date
4 December 2017
Last Update Date
4 December 2017

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5414710397
Graduation Year
2017 (9 years ago)
PAC ID
1153680988
Group Practice PAC ID
7214119544
Professional Enrollment ID
I20180123003544
Address ID
OR975262509GR333XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

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Provider Addresses for MR. JORDAN D SHAW (D.C.)

  • 333, Southwest 5th Street, Grants Pass, Josephine County, Oregon, 97526, United States

    GRANTS PASS, OR 975262509

    Phone: (541) 471-0397

    Fax: (541) 471-6459

    Type: Location

  • Southwest 5th Street, Grants Pass, Josephine County, Oregon, 97506, United States

    AXIS HEALTH INC

    GRANTS PASS, OR 97526

    Phone: (541) 471-0397

    Fax: (541) 471-6459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180123003544IChiropracticORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions28551$0
View full utilization report →

Insurance plans in this area (ZIP 97526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214119544View full group profile
NameSpecialtyState
C H I R O P R A C T I COR
C H I R O P R A C T I COR
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

What identifier follows MR. JORDAN D SHAW (D.C.) across health systems?
The NPI 1255846986 uniquely identifies MR. JORDAN D SHAW (D.C.) in U.S. healthcare data.
Is MR. JORDAN D SHAW (D.C.)'s NPI status active today?
Active status means MR. JORDAN D SHAW (D.C.)'s NPI record is not deactivated in the public file.
What does the directory say MR. JORDAN D SHAW (D.C.) does?
Insurance directories may phrase it differently, but here MR. JORDAN D SHAW (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Is MR. JORDAN D SHAW (D.C.) tied to Grants Pass, Oregon?
If you are local to Grants Pass, Oregon, MR. JORDAN D SHAW (D.C.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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