Christopher Shannon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2018000702 Issued in MO

Practice address

920 N Main St Ste 2
Mountain Grove, MO 65711-1315

Phone

(417) 259-0912

NPI assigned

Jan 11, 2018

Last updated

Jan 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2017

Medicare assignment

May accept Medicare assignment

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.

• Shannon Chiropractic LLC

  • Chiropractor
  • Mountain Grove, MO
  • NPI 1346748290
  Medicare reassignment NPD Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1295243376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N MAIN ST STE 2",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N MAIN ST STE 2",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111315",
            "telephone_number": "417-259-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018000702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Care Group of the Ozarks, LLC (RCG Mountain Grove)
• Vallie Jo Rogers, PT
• Nadatha Shenade Rutz
• Samuel E Deatherage DMD PC
• Shannon Chiropractic LLC
• Katie J Shannon, ATC/LAT
• Deborah Ann Shockley, L.P.C.
• Jeremy Ryan Skeen, P.T.
• Francis Louise Smith, ADMINISTRATOR
• Spurling and White LLC (Grove Family Care)

• Chiropractor in Mountain Grove, MO
• Providers in Mountain Grove, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.