Greg Shannon, L.AC., M.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000659 Issued in WA

Practice address

304 Grant Rd
Suite 2
East Wenatchee, WA 98802-5384

Phone

(509) 886-4554

Fax

(509) 782-9255

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gregory W. Shannon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487707451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 OLIVE ST",
            "city": "CASHMERE",
            "state": "WA",
            "postal_code": "988151126",
            "telephone_number": "509-886-4554",
            "fax_number": "509-782-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GRANT RD",
            "address_2": "SUITE 2",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025384",
            "telephone_number": "509-886-4554",
            "fax_number": "509-782-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "GREG",
        "credential": "L.AC.,  M.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "SHANNON",
            "middle_name": "W.",
            "credential": "L.AC.,  M.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in East Wenatchee, WA
• Providers in East Wenatchee, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.