Active NPI
Shannon Marie Chin, DC
- Chiropractor
- Plano, TX
National Provider Identifier
1386831014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10708
- Practice address
- 5172 Village Creek Dr Ste 101
Plano, TX 75093-4444 - Phone
- (469) 471-7639
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31166 | CA | |
| Chiropractor | 111N00000X | 10708 | TX | Primary |
Addresses
Primary practice location
5172 Village Creek Dr Ste 101
Plano, TX 75093-4444
Mailing address
5172 Village Creek Dr Ste 101
Plano, TX 75093-4444
Phone (469) 471-7639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31166 | CA | MD | Psychologist |
| 10708 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1386831014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5172 VILLAGE CREEK DR STE 101",
"city": "PLANO",
"state": "TX",
"postal_code": "750934444",
"telephone_number": "469-471-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5172 VILLAGE CREEK DR STE 101",
"city": "PLANO",
"state": "TX",
"postal_code": "750934444",
"telephone_number": "469-471-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31166",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.