Shannon Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2018000702 Issued in MO

Legal business name

SHANNON CHIROPRACTIC LLC

Practice address

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

Phone

(417) 349-4116

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Shannon, DCNPI 1295243376

Title

Chiropractor

Phone

(417) 349-4116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon Chiropractic LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Shannon, DC

  • Chiropractor
  • Mountain Grove, MO
  • NPI 1295243376
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1346748290",
    "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",
            "telephone_number": "417-349-4116"
        },
        {
            "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": "417-349-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "417-349-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018000702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295243376",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regional Services
• Renal Care Group of the Ozarks, LLC
• Vallie Jo Rogers, PT
• Nadatha Shenade Rutz
• Samuel E Deatherage DMD PC
• Christopher Shannon, DC
• Katie J Shannon, ATC/LAT
• Deborah Ann Shockley, L.P.C.
• Jeremy Ryan Skeen, P.T.
• Francis Louise Smith, ADMINISTRATOR

• 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 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.