Individual provider Active NPI

Ryan E Shine, DC

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1548490899
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010136 Issued in PA
Practice address
314 Old Route 30 Ste 100
Greensburg, PA 15601-6993
Phone
(724) 834-0389
Fax
(724) 834-0390
NPI assigned
Jul 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010136 PA Primary

Addresses

Primary practice location

314 Old Route 30 Ste 100
Greensburg, PA 15601-6993

Mailing address

314 Old Route 30 Ste 100
Greensburg, PA 15601-6993
Phone (724) 834-0389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000391 PA Practitioner - Chiropractic 8628243227 Reassigns benefits to 1 organization
Practice locations: Greensburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

298 Old Route 30
Greensburg, PA 15601-7035
Phone (724) 834-0389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010136PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ryan Shine LLC Chiropractor CurrentSince Feb 15, 2021 Accepting new patients
Shine Chiropractic Neurology LLC Past Accepting new patients

Locations

298 Old Route 30
Greensburg, PA 15601
Phone (724) 834-0389

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1548490899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 OLD ROUTE 30 STE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016993",
            "telephone_number": "724-834-0389",
            "fax_number": "724-834-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 OLD ROUTE 30 STE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016993",
            "telephone_number": "724-834-0389",
            "fax_number": "724-834-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINE",
        "first_name": "RYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.