Shane R Copelan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

661 Issued in WY

Practice address

1727 E 2ND St
Casper, WY 82601-3054

Phone

(307) 473-1000

Fax

(307) 473-1014

NPI assigned

Jan 3, 2007

Last updated

Jan 14, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Casper Mountain Chiropractic LLC

  • Chiropractor
  • Casper, WY
  • NPI 1548488851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1205993565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013054",
            "telephone_number": "307-473-1000",
            "fax_number": "307-473-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013054",
            "telephone_number": "307-473-1000",
            "fax_number": "307-473-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAN",
        "first_name": "SHANE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CHIROPRACTIC LICENS",
            "identifier": "661",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Joseph Cooper, M.D.
• Jessica Cooper, R.D.H.
• Nicole Lynn Cooper
• Shawndra Leigh Cooper, DD WAIVER
• Copd-LLC
• Kala Corban, MSW, PCSW
• Kari Cornella
• Cornerstone Caregiving West LLC
• Joseph Julio Correa-Volkman, PT. DPT
• Carrie Lynn Corrigan, NCC, LPC-1404

• Chiropractor in Casper, WY
• Providers in Casper, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.

Verify at the official NPI Registry.