Shipley Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHIPLEY CHIROPRACTIC LTD

Practice address

2502 Pontoon Rd
Granite City, IL 62040-4149

Phone

(618) 931-2001

Fax

(618) 931-6440

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Laura B Shipley, DCNPI 1255525606

Title

Owner/Physician

Phone

(618) 931-2001

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Beth Shipley, D.C.

  • Chiropractor
  • Granite City, IL
  • NPI 1255525606
  Medicare reassignment Care Compare group Authorized official
• Amber Jo Miller, DC

  • Chiropractor
  • Edwardsville, IL
  • NPI 1821802778
  Medicare reassignment Care Compare group NPD
• Lawrence Allen Shipley II, D.C.

  • Chiropractor
  • Granite City, IL
  • NPI 1184737074
  NPD (past)
• Sarah-Jane Pavlik Trautwein, DC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1386274629
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1497309066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404149",
            "telephone_number": "618-931-2001",
            "fax_number": "618-931-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404149",
            "telephone_number": "618-931-2001",
            "fax_number": "618-931-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SHIPLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "618-931-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EZBis",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2502 Pontoon Rd",
            "city": "Granite City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620404149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen E Sein Ohn, MD
• Katie Serrano, DMD
• Seth Tilzer, Inc
• Yogendra Ambalal Shah, M.D.,S.C.
• Ann G Shashack, RPH
• Laura Beth Shipley, D.C.
• Lawrence Allen Shipley II, D.C.
• James Aaron Shultz
• Mitra S. Shultz, PA-C
• Taylor Shy

• Chiropractor in Granite City, IL
• Providers in Granite City, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.