Individual provider Active NPI

Shannon Ray Neal, DC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1427387091
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007237 Issued in IA
Practice address
506 E Locust St
Davenport, IA 52803-4331
Phone
(563) 324-6325
Fax
(563) 323-5180
NPI assigned
Dec 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007237 IA Primary

Addresses

Primary practice location

506 E Locust St
Davenport, IA 52803-4331

Mailing address

506 E Locust St
Davenport, IA 52803-4331
Phone (563) 324-6325

Other identifiers 1

IdentifierTypeStateIssuer
007237OtherIAIOWA CHIROPRACTOR LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galesburg Wellness Systems P.C. Chiropractor Past Accepting new patients
Neal Chiropractic Clinic Chiropractor PastSince Aug 22, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1427387091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034331",
            "telephone_number": "563-324-6325",
            "fax_number": "563-323-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034331",
            "telephone_number": "563-324-6325",
            "fax_number": "563-323-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SHANNON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA CHIROPRACTOR LICENSE",
            "identifier": "007237",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.