Shaffer Chiropractic Clinic – Chiropractor, NPI 1285775601

Shaffer Chiropractic Clinic is a healthcare provider. based in Fairborn, Ohio. specializing in Chiropractor. The organization holds a License No. 1820 (OH). The NPI Number for Shaffer Chiropractic Clinic is 1285775601

Main info

Organization
Name
Shaffer Chiropractic Clinic
NPI
1285775601
Phone
(937) 878-8080
Address
1038 KAUFFMAN AVE
Authorized Official
DR. RANDALL R SHAFFER CHIROPRACTOR D.C.
Enumeration Date
9 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Shaffer Chiropractic Clinic

  • 1038 KAUFFMAN AVE

    FAIRBORN, OH 453243815

    Phone: (937) 878-8080

    Fax: (937) 878-7072

    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)

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: 2004-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (805 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20040123000944OClinic/Group PracticeOH2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 45324)

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Reviews

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Frequently asked questions

What number should I use to identify Shaffer Chiropractic Clinic for billing?
Administrative and clinical systems typically use NPI 1285775601 for Shaffer Chiropractic Clinic.
Is Shaffer Chiropractic Clinic's NPI status active today?
Active status means Shaffer Chiropractic Clinic's NPI record is not deactivated in the public file.
How should patients interpret Shaffer Chiropractic Clinic's specialty?
The extract shows Chiropractor for Shaffer Chiropractic Clinic. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Shaffer Chiropractic Clinic?
Shaffer Chiropractic Clinic is associated with Fairborn, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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