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Active NPI 1124863857 Individual Practitioner Male Practitioner

Dereck Desmond Shaw , LAC

Acupuncturist • Grants Pass, OR

Professional Overview & Biography Verified Profile Summary

Dereck Shaw, LAC is a registered healthcare professional specializing in Acupuncturist in Grants Pass, OR. Practice services are available at 910 NE D ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 Ne D St

Grants Pass, OR 975262325

Telephone 5414764611
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Grants Pass, OR (1579 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License OR 216398

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1538373980

OMDCALICAC

Adam Martini , LAC

Acupuncturist

NPI 1871742270

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2024

Registered at 910 NE D ST, GRANTS PASS, OR 975262325 (Tel: 5414764611)

📍
Updated Business Mailing Address June 25, 2024

Registered at 189 SMOKEY LN, GRANTS PASS, OR 975274840 (Tel: 5413737423)

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as DERECK SHAW, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Acupuncturist (License #216398 in OR)

🟢
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124863857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: June 25, 2024
Sole Proprietor: Yes

Mailing Address

189 Smokey Ln

Grants Pass, OR 975274840

Phone: 5413737423

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.