Shane Patrick Carnahan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034819 Issued in WA

Practice address

745 N Grand Ave
Suite 101
Pullman, WA 99163-3151

Phone

(509) 332-5613

Fax

(509) 332-7901

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

Yes

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 WA, AZ2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

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 and National Provider Directory roles.

• Carnahan Alternative Health Care

  • Chiropractor
  • Pullman, WA
  • NPI 1700072436
  Medicare reassignment NPD Authorized official
• Fowler Chiropractic PLLC

  • Chiropractor
  • Tucson, AZ
  • NPI 1043491301

  AZ, Chiropractor

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Public Hospital District #1-a of Whitman County

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1275722639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N GRAND AVE",
            "address_2": "SUITE 101",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633151",
            "telephone_number": "509-332-5613",
            "fax_number": "509-332-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N GRAND AVE",
            "address_2": "SUITE 101",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633151",
            "telephone_number": "509-332-5613",
            "fax_number": "509-332-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "SHANE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Campbell
• Nigel Harris Campbell, MD
• Bradly John Capawana, DPM
• Kevin W Cardwell, PA-C
• Carnahan Alternative Health Care
• Jenny Lyn Carrier, DPT
• Alisha L Cartwright, LMP
• Casa Counseling PLLC
• Heather Leigh Case, EDD
• Kelly Cavanaugh, CNA

• Chiropractor in Pullman, WA
• Providers in Pullman, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.