Active NPI
Shaun-Michael Paul Basinger, DC
- Chiropractor
- Connellsville, PA
National Provider Identifier
1316390594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011171
- Practice address
- 160 W Crawford Ave
Connellsville, PA 15425-3537 - Phone
- (724) 323-5891
- Fax
- (724) 603-3235
- NPI assigned
- Jul 22, 2016
- Last updated
- Sep 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011171 | PA | Primary |
Addresses
Primary practice location
160 W Crawford Ave
Connellsville, PA 15425-3537
Mailing address
904 Sycamore St
Connellsville, PA 15425-4548
Phone (724) 323-5891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828000704 | PA | Practitioner - Chiropractic | 8325310253 | Practice locations: Connellsville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
601 W Crawford Ave
Connellsville, PA 15425-2536
Phone (724) 323-5891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholson Chiropractic Health and Wellness LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Connellsville, PA
- NPI 1902252919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1316390594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 SYCAMORE ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154254548",
"telephone_number": "724-323-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 W CRAWFORD AVE",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154253537",
"telephone_number": "724-323-5891",
"fax_number": "724-603-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASINGER",
"first_name": "SHAUN-MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Connellsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.