Shank Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHANK CHIROPRACTIC CLINIC LLC

Practice address

713 Taywood Rd
Englewood, OH 45322

Phone

(937) 558-1256

Fax

(937) 558-1273

NPI assigned

Nov 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer L Shank

Title

Office Manager

Phone

(937) 558-1256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Wrightsmen Shaffer, D.C.

  • Chiropractor
  • Englewood, OH
  • NPI 1699711960
  Medicare reassignment Care Compare group NPD
• Ryan A Shank, D.C.

  • Chiropractor
  • Englewood, OH
  • NPI 1790727386
  Medicare reassignment Care Compare group NPD
• Terry L. Shaffer, D.C.

  • Chiropractor
  • Fairborn, OH
  • NPI 1588620678
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1427239359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 TAYWOOD RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45322",
            "telephone_number": "937-558-1256",
            "fax_number": "937-558-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TAYWOOD RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45322",
            "telephone_number": "937-558-1256",
            "fax_number": "937-558-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANK CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-558-1256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Sedor
• James F Seiler, MD
• Michael Joseph Sereika, R.PH.
• Serene Healthcare Services, LLC.
• Robert Wrightsmen Shaffer, D.C.
• Ryan A Shank, D.C.
• Seema Sharma, M.D.
• Melinda Shaw
• Randolph S Shaw, DDS
• Ross D. Shira, DDS

• Chiropractor in Englewood, OH
• Providers in Englewood, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.

Verify at the official NPI Registry.