Shaunnon J Flickinger, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05380 Issued in KS

Practice address

210 E Frontview St
Suite C
Dodge City, KS 67801-5071

Phone

(620) 370-6166

Fax

(620) 371-6371

NPI assigned

Feb 17, 2011

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

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dodge City Chiropractic LLCGroup PAC ID 6002036142, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dodge City Chiropractic, LLC

  • Chiropractor
  • Dodge City, KS
  • NPI 1306248992
  Medicare reassignment Care Compare group Authorized official
• Kirk L. Henrichs

  • Sports Physician Chiropractor
  • Dodge City, KS
  • NPI 1194822619
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1386941979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 STEAMBOAT DR",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017409",
            "telephone_number": "620-390-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E FRONTVIEW ST",
            "address_2": "SUITE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678015071",
            "telephone_number": "620-370-6166",
            "fax_number": "620-371-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "SHAUNNON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Avenue Dental, P.a.
• Fischer Chiropractic PA
• Scott D Fischer, DC
• Sara Nicole Flickinger, D.C.
• Sean D Krylie Flickinger, D.C.
• Ginger Floyd
• FMS Midwest Dialysis Centers, LLC
• Kaysha Fonseca, BEHAVIOR TECHNICIAN
• Janine Kilian Forrest, RPH
• Tereza Fuentes

• Chiropractor in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.