Active NPI
Shane Jeffery Countryman, DC
- Chiropractor
- Loveland, CO
National Provider Identifier
1265026322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0008243
- Practice address
- 4190 N Garfield Ave # 2
Loveland, CO 80538-2241 - Phone
- (972) 469-2976
- NPI assigned
- Mar 1, 2021
- Last updated
- May 11, 2021
- 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 | CHR.0008243 | CO | Primary |
Addresses
Primary practice location
4190 N Garfield Ave # 2
Loveland, CO 80538-2241
Mailing address
5149 Pruitt Dr
The Colony, TX 75056-1234
Phone (972) 469-2976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008243 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flemming Chiro LLC | Chiropractor | Current | Accepting new patients |
Locations
4190 N Garfield Ave
#2
Loveland, CO 80538
Phone (970) 663-2273
Organizations & group practices 2
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": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1265026322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5149 PRUITT DR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750561234",
"telephone_number": "972-469-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 N GARFIELD AVE # 2",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382241",
"telephone_number": "972-469-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTRYMAN",
"first_name": "SHANE",
"middle_name": "JEFFERY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-01",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0008243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
- Catherine Costisick
- Cottontail Creek Healthcare, Inc. (Riverbend Health and Rehabilitation Center)
- Cottontail Creek Healthcare, Inc. (Riverbend Health and Rehabilitation Center)
- Alison Cottrell, MD
- Jennifer Couch
- County of Larimer
- Laura Jean Cox, OTD, OTR/L
- Sue D Cox
- Tamara Cramer, CNM, APN, IBCLC
- Jason David Crandall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.