Individual provider Active NPI

Shaun Huntington, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1497310668
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14205 Issued in FL
Practice address
2378 Surfside Blvd # A133
Cape Coral, FL 33991-3181
Phone
(239) 205-3700
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14205 FL Primary

Addresses

Primary practice location

2378 Surfside Blvd # A133
Cape Coral, FL 33991-3181

Mailing address

2378 Surfside Blvd # A133
Cape Coral, FL 33991-3181
Phone (239) 205-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910002524 WA Practitioner - Chiropractic 7113256587 Practice locations: Port Orchard, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Pottery Ave
Port Orchard, WA 98366-3712
Phone (253) 223-3538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14205FLMDChiropractor
4370OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle McKenzie DC Inc Chiropractor CurrentSince Nov 1, 2020 Accepting new patients
Action Chiropratic Chiropractor Past Accepting new patients
Spinal Health Care Center Chiropractor Past Accepting new patients

Locations

9050 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 692-2333

Organizations & group practices 3

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1497310668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 SURFSIDE BLVD # A133",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913181",
            "telephone_number": "239-205-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 SURFSIDE BLVD # A133",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913181",
            "telephone_number": "239-205-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.