Quentre Shannon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010119 Issued in GA

Practice address

4073 Lavista Rd Ste 371
Tucker, GA 30084-5221

Phone

(770) 376-5784

Fax

(770) 376-5789

NPI assigned

Oct 9, 2018

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

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.

• Legacy Chiropractic, Inc.

  • Chiropractor
  • Tucker, GA
  • NPI 1013789171
  NPD

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1508331273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 LAVISTA RD STE 371",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845221",
            "telephone_number": "770-376-5784",
            "fax_number": "770-376-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 LAVISTA RD STE 371",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845221",
            "telephone_number": "770-376-5784",
            "fax_number": "770-376-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "QUENTRE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semantix, Inc
• Senior Mobility, Inc.
• Elisha Sewell
• Azhar S Shah, MSPT
• Shilpa R Shah, MD
• David Adam Shapiro, DC
• Nathan Shapiro, DDS
• Rita Sharma, MD
• Pinang M Shastri, DO
• Margaret Anne Shaw, RN, PNP-BC

• Chiropractor in Tucker, GA
• Providers in Tucker, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.