Active NPI
Connor Shannon, DC
- Chiropractor
- Friday Harbor, WA
National Provider Identifier
1457063505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61599467
- Practice address
- 545 Spring St
Friday Harbor, WA 98250-8057 - Phone
- (360) 378-5660
- NPI assigned
- Dec 20, 2022
- Sex
- Male
- 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 | CH61599467 | WA | Primary |
Addresses
Primary practice location
545 Spring St
Friday Harbor, WA 98250-8057
Mailing address
545 Spring St
Friday Harbor, WA 98250-8057
Phone (360) 378-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
409 NE Greenwood Ave
Suite 120
Bend, OR 97701-4616
Phone (541) 728-0954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH61599467 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Hearing Healthcare, LLC | Current | Accepting new patients | |
| 2Chirosmission Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
409 NE Greenwood Ave
Ste 120
Bend, OR 97701
Phone (541) 728-0954
545 Spring St
Friday Harbor, WA 98250
Phone (360) 378-2330
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.
-
- Chiropractor
- Bend, OR
- NPI 1558706994
-
- Audiologist
- Friday Harbor, WA
- NPI 1023316981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1457063505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SPRING ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508057",
"telephone_number": "360-378-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SPRING ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982508057",
"telephone_number": "360-378-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "CONNOR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-20",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61599467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.