Active NPI
Michael Shane Sharkey, D.C.
- Chiropractor
- Bellevue, NE
National Provider Identifier
1194035113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1952
- Practice address
- 3811 Twin Creek Dr
Bellevue, NE 68123-4000 - Phone
- (402) 884-4774
- Fax
- (402) 884-4787
- NPI assigned
- Oct 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1952 | NE | Primary |
Addresses
Primary practice location
3811 Twin Creek Dr
Bellevue, NE 68123-4000
Mailing address
3811 Twin Creek Dr
102
Bellevue, NE 68123
Phone (402) 884-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019003253 | NE | Practitioner - Chiropractic | 2567778541 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1413 S Washington St
210 New Beginnings Chiropractic
Papillion, NE 68046-4193
Phone (402) 882-6392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1952 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylex, LLC | Chiropractor | Current | Accepting new patients |
Locations
1413 S Washington St
Ste 210
Papillion, NE 68046
Phone (402) 593-3120
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.
-
- Chiropractor
- Papillion, NE
- NPI 1710749064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194035113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 TWIN CREEK DR",
"address_2": "102",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-884-4774",
"fax_number": "402-884-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 TWIN CREEK DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681234000",
"telephone_number": "402-884-4774",
"fax_number": "402-884-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARKEY",
"first_name": "MICHAEL",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.