Isiah Shanko, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003418A Issued in IN

Practice address

2502 Beech St Ste 60
Valparaiso, IN 46383-6215

Phone

(219) 786-9596

NPI assigned

Feb 29, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Synergy Chiropractic and Functional Neurology Center

  • Chiropractor
  • Valparaiso, IN
  • NPI 1245098268
  NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1306603022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 BEECH ST STE 60",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836215",
            "telephone_number": "219-669-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 BEECH ST STE 60",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836215",
            "telephone_number": "219-786-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKO",
        "first_name": "ISIAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IN",
            "license": "08003418A",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08003418A",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IN",
            "license": "08003418A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003418A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadia Ibrahim Ma LMHC LLC
• Rikin D Shah, D.O.
• Syed Tayyab Shah, MD
• Maria Shamim, MD
• Robert Fleming Shankland, DDS
• Shannon Johnson LLC
• Shriya Sharma
• Spardha Sureshchandra Sharma
• Jessica M Sharp, MPT
• Angelicah Brieanne Shaver, MS.ED., NCC

• Chiropractor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.