Kevin Michael Shanahan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A06065 Issued in IA

Practice address

1004 S Broadway St
Toledo, IA 52342-2302

Phone

(641) 484-3740

Fax

(641) 484-5861

NPI assigned

Jun 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

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.

• Shanahan Family Chiropractic

  • Chiropractor
  • Toledo, IA
  • NPI 1205793973
  NPD Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093744302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S BROADWAY ST",
            "address_2": "P.O. BOX 96",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422302",
            "telephone_number": "641-484-3740",
            "fax_number": "641-484-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S BROADWAY ST",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422302",
            "telephone_number": "641-484-3740",
            "fax_number": "641-484-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192948",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Estates of Toledo, LLC
• Paige Ryan, PTA
• Seitz Family Chiropractic, LLC
• Giovanna Seitz, D.C.
• Shanahan Family Chiropractic
• Shopko Stores Operating Co LLC
• Tyne Kathleen Smith, MSW
• Tama County Administrative Offices
• Tama County Case Management
• Pamela Sue Tekippe, LISW

• All providers in Toledo, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.