Active NPI
Shamika Cordis, D.C.
- Chiropractor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012064
- Practice address
- 3927 W Belmont Ave
Ste 101
Chicago, IL 60618-5170 - Phone
- (773) 557-7780
- Fax
- (773) 557-7781
- NPI assigned
- May 2, 2011
- Last updated
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 038012064 | IL | Primary |
Addresses
Primary practice location
3927 W Belmont Ave
Ste 101
Chicago, IL 60618-5170
Mailing address
PO Box 5977
Dept 20-3028
Carol Stream, IL 60197-5977
Phone (630) 468-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1018 7TH Ave SE
Olympia, WA 98501-1512
Phone (360) 728-0315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CB Chiropractic PLLC | Current | Accepting new patients | |
| Phoenix Rising Wellness Center | Chiropractor | Current | Accepting new patients |
| Natural Wellness Center, PS | Chiropractor | Current | Accepting new patients |
| Chiro One Wellness Center Metro of Avondale LLC | Chiropractor | Past | Accepting new patients |
| Provasoli Chiropractic Inc. | Past | Accepting new patients | |
| Thurston Internal Medicine PLLC | Past | Accepting new patients |
Locations
1409 S 348th St
Ste D103
Federal Way, WA 98003
Phone (253) 839-8608
2026 54th Ave E
Fife, WA 98424
Phone (253) 777-3889
11008 Gravelly Lake Dr SW
Lakewood, WA 98499
Phone (253) 220-0711
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Federal Way, WA
- NPI 1679609176
-
- Chiropractor
- Lakewood, WA
- NPI 1639775174
-
- Chiropractor
- Chicago, IL
- NPI 1316227713
-
- Internal Medicine Physician
- Olympia, WA
- NPI 1427710185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1457642936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5977",
"address_2": "DEPT 20-3028",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601975977",
"telephone_number": "630-468-1824",
"fax_number": "630-701-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 W BELMONT AVE",
"address_2": "STE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606185170",
"telephone_number": "773-557-7780",
"fax_number": "773-557-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDIS",
"first_name": "SHAMIKA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.