NPIMap

Organization Active NPI

Shanan Chiropractic

  • Chiropractor
  • Austin, TX
National Provider Identifier
1023131695
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7335 Issued in TX
Legal business name
SHANAN CHIROPRACTIC
Practice address
5840 Balcones Dr Ste 100
Austin, TX 78731-4246
Phone
(512) 452-9469
Fax
(512) 452-4983
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
George Martin Shannan, CHIROPACTORNPI 1801808431
Title
George M. Shannan,D.C.
Phone
(512) 452-9469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 7335 TX Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2086 TX

Addresses

Primary practice location

5840 Balcones Dr Ste 100
Austin, TX 78731-4246

Mailing address

5840 Balcones Dr Ste 100
Austin, TX 78731-4246
Phone (512) 452-9469

Other identifiers 2

IdentifierTypeStateIssuer
85952GOtherTXBCBS
85951GOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

5840 Balcones Dr
Ste 100
Austin, TX 78731
Phone (512) 452-9469

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1023131695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314246",
            "telephone_number": "512-452-9469",
            "fax_number": "512-452-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314246",
            "telephone_number": "512-452-9469",
            "fax_number": "512-452-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SHANNAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "GEORGE M. SHANNAN,D.C.",
        "authorized_official_telephone_number": "512-452-9469",
        "authorized_official_credential": "CHIROPACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7335",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85952G",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85951G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.