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
- 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
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 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Loveland, CO
- NPI 1891545273
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
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.