Shannon Connolly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012764-1 Issued in NY

Practice address

222 Broadway FL 19
New York, NY 10038-2550

Phone

(347) 989-2865

Fax

(862) 300-3340

NPI assigned

Dec 16, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1285099341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070120545",
            "telephone_number": "301-741-8173",
            "fax_number": "862-300-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROADWAY FL 19",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382550",
            "telephone_number": "347-989-2865",
            "fax_number": "862-300-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Broad St",
            "address_2": "20th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042304",
            "country_code": "US",
            "telephone_number": "212-792-9292",
            "fax_number": "212-792-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "SHANNON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012764-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gerard Connolly, LP
• Michelle Connolly, M.S., S.L.P.
• Olivia T Connolly
• Peter Connolly, MD
• Philippa Connolly, PHD
• Shanon M Connolly, M.D.
• Thomas Connolly, PT, DPT
• Thomas John Connolly, DDS
• Bradley A Connor, MD
• Sharon Lerner Connor, LMSW MSED.

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.