Individual provider Active NPI

Shannon L Thieroff, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1386744886
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007486L Issued in PA
Practice address
8199 McKnight Rd
Suite 102
Pittsburgh, PA 15237-5749
Phone
(412) 364-9699
Fax
(412) 364-5172
NPI assigned
Sep 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007486L PA Primary
Chiropractor 111N00000X X0112081 NY

Addresses

Primary practice location

8199 McKnight Rd
Suite 102
Pittsburgh, PA 15237-5749

Mailing address

8199 McKnight Rd
Suite 102
Pittsburgh, PA 15237-5749
Phone (412) 364-9699

Other identifiers 1

IdentifierTypeStateIssuer
07711971MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000748 PA Practitioner - Chiropractic 3870534506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Restorative Medicine LLCGroup PAC ID 9739437336, 5 clinicians

Practice addresses (Care Compare)

8074 McIntyre Square Dr
Pittsburgh, PA 15237-7300
Phone 41236496993008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0112081NYMDChiropractor
DC007486LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Restorative Medicine LLC. CurrentSince Jun 19, 2018 Accepting new patients

Locations

8199 McKnight Rd
Ste 102
Pittsburgh, PA 15237
Phone (412) 364-5490

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386744886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 MCKNIGHT RD",
            "address_2": "SUITE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375749",
            "telephone_number": "412-364-9699",
            "fax_number": "412-364-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 MCKNIGHT RD",
            "address_2": "SUITE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375749",
            "telephone_number": "412-364-9699",
            "fax_number": "412-364-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEROFF",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007486L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0112081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07711971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • 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.
  • 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.