Individual provider Active NPI

Kara Nichole Shannon, D.C

  • Chiropractor
  • Buffalo, IA
National Provider Identifier
1083031702
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
072769 Issued in IA
Practice address
1134 Front St
Suite 200
Buffalo, IA 52728-7763
Phone
(563) 823-8836
Fax
(563) 823-8305
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 072769 IA Primary

Addresses

Primary practice location

1134 Front St
Suite 200
Buffalo, IA 52728-7763

Mailing address

PO Box 327
Buffalo, IA 52728-0327
Phone (563) 823-8836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1083031702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "BUFFALO",
            "state": "IA",
            "postal_code": "527280327",
            "telephone_number": "563-823-8836",
            "fax_number": "563-823-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 FRONT ST",
            "address_2": "SUITE 200",
            "city": "BUFFALO",
            "state": "IA",
            "postal_code": "527287763",
            "telephone_number": "563-823-8836",
            "fax_number": "563-823-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "KARA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "072769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.