Active NPI
Shannon Myers DC LLC
Doing business as Myers Chiropractic
- Chiropractor
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SHANNON MYERS DC LLC
- Doing business as
- Myers Chiropractic
- Practice address
- 111 Broyles St
Suite 6
Johnson City, TN 37601-2532 - Phone
- (423) 610-0005
- Fax
- (423) 610-0009
- NPI assigned
- Jul 30, 2008
- Last updated
- Jun 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shannon W Myers, DC
- Title
- Owner
- Phone
- (423) 610-0005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | TN | Primary |
Addresses
Primary practice location
111 Broyles St
Suite 6
Johnson City, TN 37601-2532
Mailing address
111 Broyles St
Suite 6
Johnson City, TN 37601-2532
Phone (423) 610-0005
Other names 1
- Myers Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 Broyles Dr
Ste 6
Johnson City, TN 37601
Phone (423) 610-0005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Johnson City, TN
- NPI 1982622601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1407012495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BROYLES ST",
"address_2": "SUITE 6",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012532",
"telephone_number": "423-610-0005",
"fax_number": "423-610-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BROYLES ST",
"address_2": "SUITE 6",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012532",
"telephone_number": "423-610-0005",
"fax_number": "423-610-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON MYERS DC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-610-0005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Myers Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.