Robert Joseph Shane, DC

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

X004756-1 Issued in NY

Practice address

315 Bridge St
Syracuse, NY 13209-1555

Phone

(315) 487-2225

Fax

(315) 487-2225

NPI assigned

Nov 2, 2006

Last updated

Apr 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Atlas Chiropractic of Syracuse

  • Chiropractor
  • Syracuse, NY
  • NPI 1578904272
  NPD (past)
• Atlas Chiropractic Services, P.C.

  • Chiropractor
  • Syracuse, NY
  • NPI 1013189430
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1184702243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BRIDGE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091555",
            "telephone_number": "315-487-2225",
            "fax_number": "315-487-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BRIDGE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091555",
            "telephone_number": "315-487-2225",
            "fax_number": "315-487-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANE",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "NY",
            "license": "X004756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyda A Shambo, CRNA
• Szu-Lin Shan
• Paul Andrew Shanahan, MD
• Sanjana Shandilya
• Shane M Sopp, MD PC
• Maribeth Shanley
• Paul Shanley, MD
• Donna Lynn Shannon-Jones
• Abigail Shannon
• Erin J Shannon, DDS

• Occupational Health Chiropractor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Occupational Health Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.