Daniel T. Shea DC,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005115 Issued in MI

Legal business name

DANIEL T. SHEA DC,PC

Doing business as

Shea Chiropractic

Practice address

621 N State St
Big Rapids, MI 49307-1452

Phone

(231) 796-3935

Fax

(231) 796-3510

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Thomas Shea, DC

Title

President

Phone

(231) 796-3935

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shea Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639275779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071452",
            "telephone_number": "231-796-3935",
            "fax_number": "231-796-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071452",
            "telephone_number": "231-796-3935",
            "fax_number": "231-796-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T. SHEA DC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-796-3935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "95OE410330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill R Crosby, PT
• Melinda Michelle Cusack, MD
• Czinder Eye Care PC
• Joseph Czinder, OD
• Nicholas Scott Czinder, O.D.
• Pam Daniels, MA, DE
• Johne L Datema, LMSW
• Gayle Marie Daugherty, M.A., CCC-SLP
• David D. Grear, DDS, PC
• Cassandra Ann Davis, DPT

• Chiropractor in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Chiropractor in Michigan

• 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.