Shannon Nicole Bundy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007471 Issued in CO

Practice address

12050 Pecos St Ste 208
Westminster, CO 80234-2080

Phone

(720) 379-7255

Fax

(720) 524-3012

NPI assigned

Feb 28, 2017

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shannon Nicole Potter Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wellness Way Estes Park LLC

  • Chiropractor
  • Estes Park, CO
  • NPI 1619706124
  NPD Authorized official
• Wellness Way Westminster LLC

  • Chiropractor
  • Westminster, CO
  • NPI 1114431491
  Medicare reassignment
• Core Health Chiropractic, PC

  • Chiropractor
  • Westminster, CO
  • NPI 1811366412
  NPD

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1073053799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 PECOS ST STE 208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342080",
            "telephone_number": "720-379-7255",
            "fax_number": "720-524-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 PECOS ST STE 208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342080",
            "telephone_number": "720-379-7255",
            "fax_number": "720-524-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "POTTER",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carl Thomas Buhay
• Phiet The Bui, MD
• Jane E Buie, NNP
• Elizabeth Mallory Bujenovic, MS, CCC-SLP
• Brooke Taylor Bulmer
• Melani L. Burcham, LPC
• Alyssa T Burciago, FNP-C
• Alane Schmelkin Burger
• Arelis Burgos, MD
• Jessi Burke

• Chiropractor in Westminster, CO
• Providers in Westminster, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.