Shipman Chiropractic & Wellness Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC

Practice address

4557 Utica Ridge Rd
Bettendorf, IA 52722-1641

Phone

(563) 359-1985

Fax

(563) 355-2300

NPI assigned

Nov 8, 2019

Organization subpart

Yes

Parent organization

SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLCAs reported in NPPES

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

Authorized official

Name

Lacy M Skahill

Title

Clinic Director

Phone

(563) 359-1985

Specialties & licenses 3

Addresses

Other identifiers 5

Part of

Shipman Chiropractic Wellness Clinic LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Eugene Shipman, D.C.

  • Chiropractor
  • Davenport, IA
  • NPI 1710044938
  NPD

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1679118046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221641",
            "telephone_number": "563-359-1985",
            "fax_number": "563-355-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221641",
            "telephone_number": "563-359-1985",
            "fax_number": "563-355-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIPMAN CHIROPRACTIC & WELLNESS CLINIC LLC",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "SKAHILL",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "563-359-1985"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "19257",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498170",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "I9004",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104778",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "U45391",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beau Shay, DPM
• Sheila Funk-Jansen
• Sheila Funk-Jansen
• Melangel Sable Fawn Shellenbarger, TLMHC
• Amanda Kay Sherrod, NP-C
• Shoemaker Chiropractic P.C.
• Karen Shoemaker, D.C.
• Sandra S Siemens, LISW
• Sierk Orthodontics, PC
• Alexander James Sierk, DDS,MS

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.