Individual provider Active NPI

Shawn Michael Handeland, D.C.

  • Chiropractor
  • Emmetsburg, IA
National Provider Identifier
1629312913
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007592 Issued in IA
Practice address
3687 450TH Ave
Emmetsburg, IA 50536-8709
Phone
(712) 852-2266
Fax
(712) 852-3728
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007592 IA Primary

Addresses

Primary practice location

3687 450TH Ave
Emmetsburg, IA 50536-8709

Mailing address

3687 450TH Ave
Emmetsburg, IA 50536-8709
Phone (712) 852-2266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130626000085 IA Practitioner - Chiropractic 2466691340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3687 450TH Ave
Emmetsburg, IA 50536-8709
Phone (712) 852-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Handeland Chiropractic 2 LLC Chiropractor CurrentSince Feb 3, 2014 Accepting new patients
Handeland Chiropractic Clinic P.C. Chiropractor PastSince Jan 1, 2013 Accepting new patients

Locations

3687 450th Ave
Emmetsburg, IA 50536
Phone (712) 852-2266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1629312913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 450TH AVE",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505368709",
            "telephone_number": "712-852-2266",
            "fax_number": "712-852-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 450TH AVE",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505368709",
            "telephone_number": "712-852-2266",
            "fax_number": "712-852-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDELAND",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.