Shea Stark, DC
NPI 1639568405ActiveIndividual· Chiropractor· Spring, TX
Chiropractor (DC) in Spring, Texas, licensed in MT, with an NPI issued in January 2015. Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1639568405 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | No |
| NPI issued | Jan 16, 2015 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHI-CHI-LIC-3454 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (TX) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Chiropractic |
| Secondary specialties | Sports Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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