Individual provider Active NPI

Shay Shani, D.C.

  • Chiropractor
  • Westlake Village, CA
National Provider Identifier
1467511220
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28737 Issued in CA
Practice address
960 S Westlake Blvd Ste 14
Westlake Village, CA 91361-3169
Phone
(805) 494-9977
Fax
(805) 494-8558
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28737 CA Primary

Addresses

Primary practice location

960 S Westlake Blvd Ste 14
Westlake Village, CA 91361-3169

Mailing address

55 Rolling Oaks Dr
Ste 100
Thousand Oaks, CA 91361-1010
Phone (805) 494-9977

Other identifiers 1

IdentifierTypeStateIssuer
DC28737OtherCACHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000547 CA Practitioner - Chiropractic 2365339397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Health Group IncGroup PAC ID 4587967575, 4 clinicians

Practice addresses (Care Compare)

55 Rolling Oaks Dr
Suite 100
Thousand Oaks, CA 91361-1010
Phone (805) 499-4446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28737CAMDChiropractor
28737CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Health Group Inc Chiropractor CurrentSince Nov 30, 2015 Accepting new patients

Locations

55 Rolling Oaks Dr
Ste 100
Thousand Oaks, CA 91361
Phone (805) 499-4446

Organizations & group practices 1

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1467511220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROLLING OAKS DR",
            "address_2": "STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611010",
            "telephone_number": "805-494-9977",
            "fax_number": "805-494-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S WESTLAKE BLVD STE 14",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613169",
            "telephone_number": "805-494-9977",
            "fax_number": "805-494-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANI",
        "first_name": "SHAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC28737",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.