Active NPI
Shelby Anne Mahaney, DC
- Chiropractor
- Saint Charles, MO
National Provider Identifier
1548800337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2019047630
- Practice address
- 914 Hemsath Rd Ste 104a
Saint Charles, MO 63303-6582 - Phone
- (636) 724-5757
- NPI assigned
- Jan 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2019047630 | MO | Primary |
Addresses
Primary practice location
914 Hemsath Rd Ste 104a
Saint Charles, MO 63303-6582
Mailing address
12521 Lighthouse Way Dr Apt E
Creve Coeur, MO 63141-5409
Phone (317) 752-5694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019047630 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1548800337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12521 LIGHTHOUSE WAY DR APT E",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415409",
"telephone_number": "317-752-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 HEMSATH RD STE 104A",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633036582",
"telephone_number": "636-724-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANEY",
"first_name": "SHELBY",
"middle_name": "ANNE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2019047630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.