Individual provider Active NPI

Shannon Kirkwood, DC

  • Chiropractor
  • Spring Branch, TX
National Provider Identifier
1003354960
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13813 Issued in TX
Practice address
17130 Highway 46 W Ste 110a
Spring Branch, TX 78070-7116
Phone
(830) 885-4477
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Chiropractor 111N00000X 13813 TX Primary

Addresses

Primary practice location

17130 Highway 46 W Ste 110a
Spring Branch, TX 78070-7116

Mailing address

17130 Highway 46 W Ste 110a
Spring Branch, TX 78070-7116
Phone (830) 885-4477

Other practice location 1

806 Spar Ct
Sacramento, CA 95822-2326
Phone (916) 821-9396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190411002943 TX Practitioner - Chiropractic 6608117080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taproot Chiropractic, PLLC Chiropractor CurrentSince Feb 28, 2019 Accepting new patients

Locations

17130 Highway 46 W
Ste 110A
Spring Branch, TX 78070
Phone (830) 885-4477

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1003354960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 HIGHWAY 46 W STE 110A",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780707116",
            "telephone_number": "830-885-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 HIGHWAY 46 W STE 110A",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780707116",
            "telephone_number": "830-885-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Spar Ct",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958222326",
            "country_code": "US",
            "telephone_number": "916-821-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "SHANNON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.