Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093805178 Individual Practitioner Male Practitioner

Dr. Shane D. Boucher , DC

Chiropractor • University Place, WA

Professional Overview & Biography Verified Profile Summary

Dr. Shane Boucher, DC is a registered healthcare professional specializing in Chiropractor in University Place, WA. Practice services are available at 7307 40TH ST W STE B under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7307 40th St W Ste B

University Place, WA 984664385

Telephone 2537536204
Associated Practice Facility / Clinic
🏢 Bayside Chiropractic, Pllc Facility NPI 1447494984

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in University Place, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
12 Specialists

Practicing in University Place, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
116 21 $83.64 $40.65

Medical Specialties & State Licenses

CMS Verified: 2023-01-14
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 11178

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License WA CH00034742

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License OR 713689

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Secondary Practice Locations

1310 S Union Ave Ste A202

Tacoma, WA 984051907

Phone: 2535074631

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 14, 2023

Registered at 7307 40TH ST W STE B, UNIVERSITY PLACE, WA 984664385 (Tel: 2537536204)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2023

Chiropractor (License #CH00034742 in WA)

📍
Updated Practice Location December 27, 2022

Registered at 4250 ALTURUS ST W, UNIVERSITY PLACE, WA 984666612 (Tel: 2818814683)

📍
Updated Business Mailing Address December 27, 2022

Registered at 4250 ALTURUS ST W, UNIVERSITY PLACE, WA 984666612 (Tel: 2818814683)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2022

Chiropractor (License #713689 in OR)

NPI Profile Active April 27, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2009

Registered at 410 E FAIRMONT PKWY, SUITE C, LA PORTE, TX 775716498 (Tel: 2818427700)

📍
Updated Business Mailing Address April 27, 2009

Registered at 410 E FAIRMONT PKWY, SUITE C, LA PORTE, TX 775716498 (Tel: 2818427700)

👤
Provider Name / Credentials Updated April 27, 2009

Recorded as SHANE BOUCHER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2009

Chiropractor (License #11178 in TX)

🟢
Initial NPI Registration & Enumeration October 13, 2006

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: 1093805178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: January 14, 2023
Sole Proprietor: No

Mailing Address

4250 Alturus St W

University Place, WA 984666612

Phone: 2818814683

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.