Individual provider Active NPI

Shannan Lyn Behrens, DC

  • Chiropractor
  • Pottstown, PA
National Provider Identifier
1184218075
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011599 Issued in PA
Practice address
92 Kemp Rd
Pottstown, PA 19465-7639
Phone
(610) 705-0201
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011599 PA Primary

Addresses

Primary practice location

92 Kemp Rd
Pottstown, PA 19465-7639

Mailing address

73 Spring Rd
Malvern, PA 19355-2110
Phone (610) 310-6986

Other practice location 1

83 W Main St
Elverson, PA 19520-9417
Phone (610) 705-0201

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

State licenses

LicenseStateTypeSpecialty
DC011599PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Chiropractic SCM PC Chiropractor PastSince May 26, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1184218075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SPRING RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552110",
            "telephone_number": "610-310-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 KEMP RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657639",
            "telephone_number": "610-705-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 W Main St",
            "address_purpose": "LOCATION",
            "city": "Elverson",
            "state": "PA",
            "postal_code": "195209417",
            "country_code": "US",
            "telephone_number": "610-705-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHRENS",
        "first_name": "SHANNAN",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.