DR. DANIEL ALBERT SHADDOCK (D.C.) – Chiropractor, NPI 1073818936

DR. DANIEL ALBERT SHADDOCK (D.C.) is a healthcare provider. based in Austin, Texas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 11665 (TX). The NPI Number for DR. DANIEL ALBERT SHADDOCK (D.C.) is 1073818936

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL ALBERT SHADDOCK (D.C.)
NPI
1073818936
Phone
(512) 280-6103
Address
1807 W SLAUGHTER LN
Enumeration Date
24 January 2011
Last Update Date
9 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122806103
Graduation Year
2010 (16 years ago)
PAC ID
4284817198
Group Practice PAC ID
0042448235
Professional Enrollment ID
I20110330000142
Address ID
TX787486269AU1807XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

Provider Addresses for DR. DANIEL ALBERT SHADDOCK (D.C.)

  • 1807 W SLAUGHTER LN

    SUITE 450

    AUSTIN, TX 787486230

    Phone: (512) 280-6103

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Abbott Laboratories ($41).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$41
View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-30

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
I20110330000142IChiropracticTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78748)

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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: 0042448235View full group profile
NameSpecialtyState
C H I R O P R A C T I CTX
C H I R O P R A C T I CCO
C H I R O P R A C T I CTX
C H I R O P R A C T I CTX
C H I R O P R A C T I CMS

Reviews

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Frequently asked questions

What identifier follows DR. DANIEL ALBERT SHADDOCK (D.C.) across health systems?
The NPI 1073818936 uniquely identifies DR. DANIEL ALBERT SHADDOCK (D.C.) in U.S. healthcare data.
Does the public listing show DR. DANIEL ALBERT SHADDOCK (D.C.) as active?
DR. DANIEL ALBERT SHADDOCK (D.C.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. DANIEL ALBERT SHADDOCK (D.C.)'s specialty?
The extract shows Chiropractor for DR. DANIEL ALBERT SHADDOCK (D.C.). Clinical services aligned with this taxonomy classification.
Is DR. DANIEL ALBERT SHADDOCK (D.C.) tied to Austin, Texas?
If you are local to Austin, Texas, DR. DANIEL ALBERT SHADDOCK (D.C.) may be relevant to your search.
Can I export DR. DANIEL ALBERT SHADDOCK (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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