Organization Active NPI

Shakley Chiropractic and Wellness Center LLC

  • Clinic/Center
  • Annapolis, MD
National Provider Identifier
1164813614
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
S03565 Issued in MD
Legal business name
SHAKLEY CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
185 Harry S Truman Pkwy Ste 100
Annapolis, MD 21401-7580
Phone
(410) 263-4171
Fax
(410) 263-4275
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Dr. Ryan Dale Shakley, D.C.NPI 1912151234
Title
Doctor/Owner
Phone
(410) 251-8572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X S03565 MD Primary

Addresses

Primary practice location

185 Harry S Truman Pkwy Ste 100
Annapolis, MD 21401-7580

Mailing address

185 Harry S Truman Pkwy Ste 100
Annapolis, MD 21401-7580
Phone (410) 263-4171

Other practice location 1

1304 S Division St Ste 2
Salisbury, MD 21804-6999
Phone (410) 263-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206001854 MD Part B Supplier - Clinic/Group Practice 7012232473 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

844 West St
Ste 100
Annapolis, MD 21401
Phone (410) 263-4171

185 Harry S Truman Pkwy
Ste 100
Annapolis, MD 21401
Phone (410) 263-4171

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1164813614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HARRY S TRUMAN PKWY STE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017580",
            "telephone_number": "410-263-4171",
            "fax_number": "410-263-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HARRY S TRUMAN PKWY STE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017580",
            "telephone_number": "410-263-4171",
            "fax_number": "410-263-4275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 S Division St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218046999",
            "country_code": "US",
            "telephone_number": "410-263-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAKLEY CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAKLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "410-251-8572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "S03565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.