Organization Active NPI

Shane S Doney Chiropractic Corporation

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1609091677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28060 Issued in CA
Legal business name
SHANE S DONEY CHIROPRACTIC CORPORATION
Practice address
23131 Lake Center Dr Ste E
Lake Forest, CA 92630-6813
Phone
(949) 452-0206
Fax
(949) 452-0285
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shane Doney, D.C.NPI 1104999614
Title
President
Phone
(949) 452-0206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28060 CA Primary

Addresses

Primary practice location

23131 Lake Center Dr Ste E
Lake Forest, CA 92630-6813

Mailing address

23131 Lake Center Dr Ste E
Lake Forest, CA 92630-6813
Phone (949) 452-0206

National Provider Directory

National Provider Directory

Locations

23131 Lake Center Dr
Ste E
Lake Forest, CA 92630
Phone (949) 452-0206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609091677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23131 LAKE CENTER DR STE E",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306813",
            "telephone_number": "949-452-0206",
            "fax_number": "949-452-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23131 LAKE CENTER DR STE E",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306813",
            "telephone_number": "949-452-0206",
            "fax_number": "949-452-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE S DONEY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONEY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-452-0206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

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