Organization Active NPI

Shaner Chiropractic Health Center, P.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1609920883
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004117 Issued in MI
Legal business name
SHANER CHIROPRACTIC HEALTH CENTER, P.C.
Practice address
10985 Middlebelt Rd
Livonia, MI 48150-3056
Phone
(734) 427-3550
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Robert M Shaner, D.C.
Title
President
Phone
(734) 427-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004117 MI Primary

Addresses

Primary practice location

10985 Middlebelt Rd
Livonia, MI 48150-3056

Mailing address

10985 Middlebelt Rd
Livonia, MI 48150-3056
Phone (734) 427-3550

Other identifiers 1

IdentifierTypeStateIssuer
950H25086OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000639 MI Part B Supplier - Clinic/Group Practice 2860571460 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

10985 Middlebelt Rd
Livonia, MI 48150
Phone (734) 427-3550

Practitioners & affiliated clinicians

Practitioners 3

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1609920883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10985 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503056",
            "telephone_number": "734-427-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10985 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503056",
            "telephone_number": "734-427-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANER CHIROPRACTIC HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-427-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950H25086",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.