Walters Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006278L Issued in PA

Legal business name

WALTERS CHIROPRACTIC, P.C.

Practice address

121 W King St
East Berlin, PA 17316-9728

Phone

(717) 259-8056

Fax

(717) 259-6774

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shannon R Walters, D.C.NPI 1326009119

Title

Owner

Phone

(717) 259-8056

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Renae Walters, D.C.

  • Chiropractor
  • East Berlin, PA
  • NPI 1326009119
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1235259714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W KING ST",
            "address_2": "PO BOX 763",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169728",
            "telephone_number": "717-259-8056",
            "fax_number": "717-259-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W KING ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169728",
            "telephone_number": "717-259-8056",
            "fax_number": "717-259-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-259-8056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006278L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2226775",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WA761669",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03086800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS B",
            "identifier": "0652142000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH CARE",
            "identifier": "2226775",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "273643",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8661359001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "WA761669",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5990505",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "03086800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Neil Pritchard, LMFT
• Maria E Renteria
• Nicholas Rymarowicz
• Robert George Spertzel, M.S.,ATC
• Tracy Lee Consulting, LLC
• Shannon Renae Walters, D.C.
• Elaine Marie Walton, LPN
• Randal B. Walton, LMT
• Weis Markets, Inc. (Weis Pharmacy #200)
• Wellspan Medical Group (Wellspan Family Medicine - East Berlin)

• Chiropractor in East Berlin, PA
• Providers in East Berlin, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.