Individual provider Active NPI

Shannon T. Herr, D.C.

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1235173790
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010065-1 Issued in NY
Practice address
1967 Wehrle Dr
Suite 12
Buffalo, NY 14221-8452
Phone
(716) 204-8955
Fax
(716) 204-8958
NPI assigned
Jun 15, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010065-1 NY Primary

Addresses

Primary practice location

1967 Wehrle Dr
Suite 12
Buffalo, NY 14221-8452

Mailing address

1967 Wehrle Dr
Suite 12
Buffalo, NY 14221-8452
Phone (716) 204-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000708 NY Practitioner - Chiropractic 0547426330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1967 Wehrle Dr
Suite 12
Williamsville, NY 14221-8452
Phone (716) 204-8955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010065-1NYMDChiropractor
010065NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon T. Herr, DC, PC CurrentSince Feb 20, 2012 Accepting new patients
Munroe Chiropractic Chiropractor PastSince Nov 1, 2000 Accepting new patients
Warren a. Marranca, DC, PC Chiropractor PastSince Feb 20, 2012 Accepting new patients
Discover Chiropractic PC Chiropractor Past Accepting new patients

Locations

1967 Wehrle Dr
Ste 12
Williamsville, NY 14221
Phone (716) 204-8955

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1235173790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 WEHRLE DR",
            "address_2": "SUITE 12",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218452",
            "telephone_number": "716-204-8955",
            "fax_number": "716-204-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 WEHRLE DR",
            "address_2": "SUITE 12",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218452",
            "telephone_number": "716-204-8955",
            "fax_number": "716-204-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "SHANNON",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.