Individual provider Active NPI

Shannon Elizabeth Ballard, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1013255488
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12221 Issued in TX
Practice address
7180 Bandera Rd
San Antonio, TX 78238-1295
Phone
(210) 521-6886
Fax
(210) 521-6608
NPI assigned
Jan 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12221 TX Primary

Addresses

Primary practice location

7180 Bandera Rd
San Antonio, TX 78238-1295

Mailing address

8 De Zavala PL
Shavano Park, TX 78231-1446
Phone (210) 521-6886

Other names 1

  • Dr. Shannon Elizabeth Silva Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130417000045 TX Practitioner - Chiropractic 2163668211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeternum Fortis Medical PLLCGroup PAC ID 3072950203, 3 clinicians

Practice addresses (Care Compare)

8428 Bandera Rd
Suite 2
San Antonio, TX 78250-2514
Phone (210) 521-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12221TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeternum Fortis Medical PLLC CurrentSince Jan 25, 2024 Accepting new patients
Silva Chiropractic PA Chiropractor Past Accepting new patients
Central Texas Diabetes & Wellness Institute PastSince Jul 10, 2020 Accepting new patients

Locations

8428 Bandera Rd
Ste 2
San Antonio, TX 78250
Phone (210) 521-6886

7180 Bandera Rd
San Antonio, TX 78238
Phone (210) 521-6886

8428 Bandera Rd
San Antonio, TX 78250
Phone (210) 681-1500

Networks

  • TX HMO
  • NM HMO C-SNP
  • TX HMO D-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21114/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1358553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1013255488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DE ZAVALA PL",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311446",
            "telephone_number": "210-521-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381295",
            "telephone_number": "210-521-6886",
            "fax_number": "210-521-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-19",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SILVA",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.