Active NPI
Laura Lynn Shook, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1396841763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04178
- Practice address
- 807 N Waco Ave Ste 21
Wichita, KS 67203-3971 - Phone
- (316) 267-6522
- NPI assigned
- Sep 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04178 | KS | Primary |
Addresses
Primary practice location
807 N Waco Ave Ste 21
Wichita, KS 67203-3971
Mailing address
807 N Waco Ave Ste 21
Wichita, KS 67203-3971
Phone (316) 267-6522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23855 | Other | KS | BLUE CROSS BLUE SHIELD KS |
| KS3137 | Other | KS | PREFERRED CHIROPRACTIC CA |
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 |
|---|---|---|---|
| 01-04178 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396841763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 N WACO AVE STE 21",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033971",
"telephone_number": "316-267-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N WACO AVE STE 21",
"city": "WICHITA",
"state": "KS",
"postal_code": "672033971",
"telephone_number": "316-267-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "LAURA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KS",
"identifier": "23855",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHIROPRACTIC CA",
"identifier": "KS3137",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.