Active NPI
Justin Shemenski, DC
- Chiropractor
- Brackenridge, PA
National Provider Identifier
1396144762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010921
- Practice address
- 825 Freeport Rd
Brackenridge, PA 15014 - Phone
- (724) 224-2224
- Fax
- (724) 226-3988
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010921 | PA | Primary |
Addresses
Primary practice location
825 Freeport Rd
Brackenridge, PA 15014
Mailing address
5499 William Flynn Hwy
Gibsonia, PA 15044-9675
Phone (724) 443-8444
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010921 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1396144762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5499 WILLIAM FLYNN HWY",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150449675",
"telephone_number": "724-443-8444",
"fax_number": "724-443-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FREEPORT RD",
"city": "BRACKENRIDGE",
"state": "PA",
"postal_code": "15014",
"telephone_number": "724-224-2224",
"fax_number": "724-226-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMENSKI",
"first_name": "JUSTIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brackenridge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.