NPIMap

Organization Active NPI

Shannan Chiropractic Care LLC

Doing business as Worthington Chiropractic Center

  • Chiropractor
  • Worthington, OH
National Provider Identifier
1649302258
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1297 Issued in OH
Legal business name
SHANNAN CHIROPRACTIC CARE LLC
Doing business as
Worthington Chiropractic Center
Practice address
6180 Linworth Rd
Worthington, OH 43085-2812
Phone
(614) 848-5211
Fax
(614) 848-0392
NPI assigned
Mar 9, 2007
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Kevin J Shannan I, DCNPI 1346267101
Title
Owner/Chiropractor
Phone
(614) 848-5211

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
Chiropractor 111N00000X 1297 OH Primary

Addresses

Primary practice location

6180 Linworth Rd
Worthington, OH 43085-2812

Mailing address

6180 Linworth Rd
Worthington, OH 43085-2812
Phone (614) 848-5211

Other identifiers 2

IdentifierTypeStateIssuer
311201162OtherANTHEM
311201162-00OtherOHWORKERS COMP

Other names 1

  • Worthington Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805000942 OH Part B Supplier - Clinic/Group Practice 7517361009 Receives reassigned benefits from 3 practitioners
Practice locations: Worthington, OH

National Provider Directory

National Provider Directory

Locations

6180 Linworth Rd
Worthington, OH 43085
Phone (614) 848-5211

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1649302258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 LINWORTH RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852812",
            "telephone_number": "614-848-5211",
            "fax_number": "614-848-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 LINWORTH RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852812",
            "telephone_number": "614-848-5211",
            "fax_number": "614-848-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNAN CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "SHANNAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "614-848-5211",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "311201162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "311201162-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worthington Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.