Individual provider Active NPI

Shane S Townsend, D.C.

  • Chiropractor
  • Sioux City, IA
National Provider Identifier
1578560306
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06338 Issued in IA
Practice address
3104 S Lakeport Street
Sioux City, IA 51106-4222
Phone
(712) 266-0500
Fax
(712) 266-0501
NPI assigned
Jul 7, 2005
Last updated
Nov 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06338 IA Primary

Addresses

Primary practice location

3104 S Lakeport Street
Sioux City, IA 51106-4222

Mailing address

3104 S Lakeport St
Sioux City, IA 51106-4222
Phone (712) 266-0500

Other identifiers 1

IdentifierTypeStateIssuer
0239459MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102001351 IA Practitioner - Chiropractic 6406040575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler-Townsend Chiropractic Clinic PCGroup PAC ID 3577532332, 2 clinicians

Practice addresses (Care Compare)

3104 S Lakeport St
Sioux City, IA 51106-4222
Phone (712) 266-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06338IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Butler-Townsend Chiropractic Clinic, P.C. Chiropractor CurrentSince Sep 30, 2001 Accepting new patients

Locations

3104 S Lakeport St
Sioux City, IA 51106
Phone (712) 266-0500

Organizations & group practices 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1578560306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-266-0500",
            "fax_number": "712-266-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 S LAKEPORT STREET",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-266-0500",
            "fax_number": "712-266-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "SHANE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239459",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.