John P Shannon Jr., D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

300 Issued in AK

Practice address

2401 E 42ND Ave
Suite204
Anchorage, AK 99508-5205

Phone

(907) 563-6761

Fax

(907) 562-8587

NPI assigned

Oct 12, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John P. Shannon Jr., D.C, P.C

  • Chiropractor
  • Anchorage, AK
  • NPI 1972835775
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487743936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "SUITE204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085205",
            "telephone_number": "907-563-6761",
            "fax_number": "907-562-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 42ND AVE",
            "address_2": "SUITE204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085205",
            "telephone_number": "907-563-6761",
            "fax_number": "907-562-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AK",
            "license": "300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Charles Shangraw, BCBA
• Pebbles Dakota Shanley, M.D.
• Shannon Candid Alaska, P.C.
• Alexandra Ilona Shannon, OTD
• Charles Roy Shannon, MD
• Mary Hogg Shannon, PA
• Michael Shannon, LPN
• Kimberly Sharkey, CNA
• Sharon Lake Counseling
• Sharon'S Assisted Living, LLC

• Neurology Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Neurology Chiropractor in Alaska

• 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.