Kevin J Shannan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1293 Issued in OH

Practice address

6180 Linworth Rd
Worthington, OH 43085-2812

Phone

(614) 848-5211

Fax

(614) 848-0392

NPI assigned

Jul 17, 2006

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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Shannan Chiropractic Care LLCGroup PAC ID 7517361009, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Shannan Chiropractic Care LLC

  • Chiropractor
  • Worthington, OH
  • NPI 1649302258
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1346267101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 LINWORTH RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852812",
            "telephone_number": "614-848-5211",
            "fax_number": "614-848-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 LINWORTH RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852812",
            "telephone_number": "614-848-5211",
            "fax_number": "614-848-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNAN",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4253296",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS",
            "identifier": "1293",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KLAIS & CO.",
            "identifier": "311549745-014",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000203896",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000203896",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2274319",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "311201162-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Eugene Shaffer, D.C.
• Sherry Shaffer
• Ayishatu Shaibu
• Shalem Institute
• Shannan Chiropractic Care LLC
• Shannon Jap MD LLC
• Theodore Paul Shannon, PHD, MS
• Dylan Sharkey
• Carl E Sharp, DPM
• Danielle Sharp, PCC

• Chiropractor in Worthington, OH
• Providers in Worthington, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.