Shivam 2 Holdings LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHIVAM 2 HOLDINGS LLC

Practice address

3221 Voyager Dr
Green Bay, WI 54311-8349

Phone

(920) 256-0392

NPI assigned

May 21, 2021

Organization subpart

Yes

Parent organization

SHIVAM 2 HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Ravi Patel, DC

Title

President

Phone

(920) 256-0392

Specialties & licenses 2

Addresses

Other names 1

• Chirology Doing business as

Part of

Shivam 2 Holdings LLC

Locations

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1669047874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 VOYAGER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118349",
            "telephone_number": "920-256-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAM 2 HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIVAM 2 HOLDINGS LLC",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-256-0392",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chirology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chirology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick Knight Sheppard, DC
• Jeffrey Lawrence Shere, MD
• Taylor Sheron, PA-C
• Pierce McCammon Sherrill, DO
• Tyler William Shimek
• Brittany Shoemaker
• Shopko
• Shopko Institutional Care Services
• Shopko Properties, LLC
• Shopko Stores Operating Co LLC

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.