Individual provider Active NPI

Darcy Rae Shane, D.C.

  • Chiropractor
  • Louisburg, KS
National Provider Identifier
1023330149
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05304 Issued in KS
Practice address
825 W Amity St
Louisburg, KS 66053-6320
Phone
(913) 837-3310
Fax
(913) 440-0511
NPI assigned
Feb 16, 2010
Last updated
Apr 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05304 KS Primary

Addresses

Primary practice location

825 W Amity St
Louisburg, KS 66053-6320

Mailing address

825 W Amity St
Louisburg, KS 66053-6320
Phone (913) 837-3310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100714000950 KS Practitioner - Chiropractic 8921130766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

825 W Amity St
Louisburg, KS 66053-6320
Phone (913) 837-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Life Chiropractic, LLC Chiropractor CurrentSince Apr 1, 2010 Accepting new patients

Locations

156 Harvest Dr
Louisburg, KS 66053
Phone (913) 837-3310

825 W Amity St
Louisburg, KS 66053
Phone (913) 837-3310

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1023330149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W AMITY ST",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660536320",
            "telephone_number": "913-837-3310",
            "fax_number": "913-440-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W AMITY ST",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660536320",
            "telephone_number": "913-837-3310",
            "fax_number": "913-440-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "DARCY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.