Shawn Pomeroy, DC
Individual provider Active NPI Chiropractor · Bel Aire, KS
NPI 1366540577 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366540577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-04574 (KS)
- Practice address
- 6254 E 37TH St N
Suite #110
Bel Aire, KS 67220-1997 - Phone
- (316) 686-2020
- Fax
- (316) 691-9859
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04574 | KS | MD | Mental Health Counselor |
| 01-04574 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Wellness, LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04574 | KS | Yes |
Addresses
Primary practice location
6254 E 37TH St N
Suite #110
Bel Aire, KS 67220-1997
Mailing address
6254 E 37TH St N
Suite #110
Bel Aire, KS 67220-1997
Phone (316) 686-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62123 | Other | KS | BCBS NUMBER |
Other providers in Bel Aire, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.