Shane Evan Isdale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10153 Issued in TX

Practice address

716 Indian TRL
Suite 120
Harker Heights, TX 76548-5700

Phone

(254) 698-1600

Fax

(254) 698-1605

NPI assigned

Jul 27, 2006

Last updated

Aug 3, 2011By 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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corrective Chiropractic P.a.Group PAC ID 6002095502, 4 clinicians

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.

• Corrective Chiropractic P.a.

  • Chiropractor
  • Harker Heights, TX
  • NPI 1316240229
  Medicare reassignment Care Compare group NPD
• Isdale Chiropractic Clinic

  • Chiropractor
  • Killeen, TX
  • NPI 1073621223
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1215951777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL",
            "address_2": "SUITE 120",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485700",
            "telephone_number": "254-698-1600",
            "fax_number": "254-698-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL",
            "address_2": "SUITE 120",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485700",
            "telephone_number": "254-698-1600",
            "fax_number": "254-698-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISDALE",
        "first_name": "SHANE",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner-Child Counseling and Associates, LLC
• Integrity-Care NMTS, LLC
• Ir Rehab PC (Integrity Rehab)
• Camron Irwin
• Isdale Corrective Chiropractic
• Stanley Eugene Isdale, D.C.
• Yemima Israel
• Brien Iverson, LMSW, MSW
• Keairra Ivey
• Jilliann Rosemary Jacko

• Chiropractor in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.