Shane Wend

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013588 Issued in NY

Practice address

21 Main St
Stony Brook, NY 11790-1901

Phone

(631) 485-3643

Fax

(631) 485-3643

NPI assigned

Sep 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wend Wellness LLC

  • Chiropractor
  • Stony Brook, NY
  • NPI 1497593933
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1053032433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901901",
            "telephone_number": "631-485-3643",
            "fax_number": "631-485-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901901",
            "telephone_number": "631-485-3643",
            "fax_number": "631-485-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEND",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blockchiropt.com",
            "affiliation": "Y",
            "affiliationName": "Block sports chiropractic and physical therapy",
            "address_1": "260 Middle Country Rd Ste 7",
            "city": "Selden",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117842569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Weitzman, MD
• Alexandria Elizabeth Wells, MD, MBS
• Nancy A Welsch-Doyle, NP
• Xiaoyun Wen, M.D., PH.D.
• Wend Wellness LLC
• Ronald Wender, DDS
• Tara Lynn Wendt, MD
• Minxi Weng
• Mary Wertheim, NP
• Kathleen Ann Werther, RD

• Chiropractor in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.