Active NPI
Shine Chiropractic PLLC
- Chiropractor
- Flushing, NY
National Provider Identifier
1053215244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SHINE CHIROPRACTIC PLLC
- Practice address
- 13621 Roosevelt Ave Ste 204
Flushing, NY 11354-5507 - Phone
- (718) 516-1888
- Fax
- (718) 516-2888
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwin Thompson, DC
- Title
- Chiropractor
- Phone
- (718) 516-1888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
13621 Roosevelt Ave Ste 204
Flushing, NY 11354-5507
Mailing address
13621 Roosevelt Ave Ste 204
Flushing, NY 11354-5507
Phone (718) 516-1888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1053215244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13621 ROOSEVELT AVE STE 204",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545507",
"telephone_number": "718-516-1888",
"fax_number": "718-516-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13621 ROOSEVELT AVE STE 204",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545507",
"telephone_number": "718-516-1888",
"fax_number": "718-516-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHINE CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "718-516-1888",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.