Larry Shane Manley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16295 Issued in AR

Practice address

117 S Dixieland St Ste B
Lowell, AR 72745-8658

Phone

(479) 366-4147

NPI assigned

Oct 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. L Shane Manley Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Total Health Chiropractic

  • Chiropractor
  • Lowell, AR
  • NPI 1689336059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1346902376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TAMARRON DR",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198978",
            "telephone_number": "479-366-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S DIXIELAND ST STE B",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458658",
            "telephone_number": "479-366-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "LARRY",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "totalhealthchiropractic",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "117 S Dixieland St Ste B",
            "city": "Lowell",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727458658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "L",
            "last_name": "MANLEY",
            "middle_name": "SHANE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard E Looper, DC
• Lowell Urgent Care, LLC
• John Lykins, PD
• Christopher S Lyle, MS, CCC-SLP
• David K.a. Magee, MD
• Shara Lynn Manning, OTR/L
• Mariposa Therapy Services LLC
• Mark F. Olsen M.D., P.a.
• Alexys Nicole Marrufo
• Adam Jacob Martin, LPC

• Chiropractor in Lowell, AR
• Providers in Lowell, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.