Daniel Thomas Shea, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005115 Issued in MI

Practice address

621 N State St
Big Rapids, MI 49307-1452

Phone

(231) 796-3935

Fax

(231) 796-3510

NPI assigned

Feb 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366586836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071452",
            "telephone_number": "231-796-3935",
            "fax_number": "231-796-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071452",
            "telephone_number": "231-796-3935",
            "fax_number": "231-796-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth S Scsavnicki, ATC,CMT,LPTA
• Madeleine Seidel, OD
• Michelle Catherine Seward, PT
• Jasmine N Shaffer
• Sean Eric Shantz, LLPC
• Geraldine Elizabeth Shenton, PT
• Matthew Shenton, PT
• Dane L Shiltz, PHARM.D.
• Lisa Marie Shoemaker, FNP
• Meaggan Lee Shuff

• Chiropractor in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.