Shaun R McClenny, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

03452 Issued in MD

Practice address

1625 Crofton Ctr
Crofton, MD 21114-1318

Phone

(410) 451-3561

Fax

(410) 451-2265

NPI assigned

Mar 21, 2007

Last updated

Apr 21, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Rehab of Crofton IncGroup PAC ID 4082801972, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capitol Rehab of Crofton Inc

  • Physical Therapy Clinic/Center
  • Crofton, MD
  • NPI 1881911584
  Medicare reassignment Care Compare group NPD Authorized official
• CRC Wellness Dundalk

  • Chiropractor
  • Dundalk, MD
  • NPI 1184243859
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1104941509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143788",
            "telephone_number": "410-451-3561",
            "fax_number": "410-451-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CROFTON CTR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141318",
            "telephone_number": "410-451-3561",
            "fax_number": "410-451-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENNY",
        "first_name": "SHAUN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelynne Masters, LCPC
• Shayla Mattox, RBT
• Katelyn May
• Brittany Emma Mayer, DPM
• Isabella Mazo
• Lindsay R McCloskey, RBT
• Brittany McConnell, RBT
• McCrady Counseling & Consulting, LLC
• Sharriff McGee, RN
• Bethany McGowan, RN, IBCLC

• Sports Physician Chiropractor in Crofton, MD
• Providers in Crofton, MD by specialty
• Sports Physician Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.