Shane Henry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1676 Issued in LA

Practice address

826 Focis St
Metairie, LA 70005-2200

Phone

(504) 456-8560

Fax

(504) 456-8562

NPI assigned

Jul 30, 2014

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Chiropractic and Rehab

  • Rehabilitation Chiropractor
  • Metairie, LA
  • NPI 1285035824
  Medicare reassignment NPD Authorized official
• DRS Flynn Manceaux a Professional Chiropractic and Physical Therapy Co

  • Chiropractor
  • Houma, LA
  • NPI 1902063233
  NPD
• Absolute Wellness Inc

  dba Impastato Chiropractic

  • Chiropractor
  • Metairie, LA
  • NPI 1104873868
  NPD (past)
• Glenn D Manceaux PT

  • Physical Therapist
  • Houma, LA
  • NPI 1548472087
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1285042515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 FOCIS ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052200",
            "telephone_number": "504-456-8560",
            "fax_number": "504-456-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 FOCIS ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052200",
            "telephone_number": "504-456-8560",
            "fax_number": "504-456-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHANE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1676",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "LA",
            "license": "1676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry a. Pretus, M.D., PHD, Apmc
• Angela Marie Henry Wilklow, LCSW
• Ariel Henry
• Brittany Henry
• Niquel Henry
• Tina Henry
• Lauren Elizabeth Herbert
• Melissa Herbert, BT
• Zalynn Z Herbert
• Alaniss Heredia

• Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.