Shannon J Wise, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001968A Issued in IN

Practice address

8481 Fishers Center Dr
Fishers, IN 46038-2318

Phone

(317) 570-1944

Fax

(317) 576-9621

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Core Training Centers, Inc.

  • Chiropractor
  • Fishers, IN
  • NPI 1962412148
  Medicare reassignment NPD Authorized official
• Wise Chiropractic Center PC

  • Chiropractor
  • Fishers, IN
  • NPI 1053516799
  NPD (past) Authorized official
• LC Chiropractic PC

  • Chiropractor
  • Fishers, IN
  • NPI 1235258781
  NPD
• Chiropractic Neurology Center of Indianapolis, PC

  • Neurology Chiropractor
  • Indianapolis, IN
  • NPI 1518136936
  NPD (past)
• Kinsey Chiropractic, PC

  • Chiropractor
  • Carmel, IN
  • NPI 1730360256
  NPD (past)
• Tyler Lymburner DC LLC

  • Sports Physician Chiropractor
  • Carmel, IN
  • NPI 1053128876
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1447260302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8481 FISHERS CENTER DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382318",
            "telephone_number": "317-570-1944",
            "fax_number": "317-576-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8481 FISHERS CENTER DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382318",
            "telephone_number": "317-570-1944",
            "fax_number": "317-576-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SHANNON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001968A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200364220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Wilson, LCSW, LCAC
• Markayla Wilson
• Riana Wilson
• Steven Wilson
• Wise Chiropractic Center PC
• Linda G Witham, NP
• Jadin Witherspoon
• Stephanie Wolfe, LCSW
• Peyton Wolford
• Amber Sadenwater Wolsiefer, AU.D.

• Chiropractor in Fishers, IN
• Providers in Fishers, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.