Shanna Colleen Ghizoni, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5585 Issued in MN

Practice address

11417 Hanson Blvd NW
St 101
Coon Rapids, MN 55433-3992

Phone

(763) 754-1482

Fax

(763) 754-6116

NPI assigned

Dec 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shanna Colleen Miller Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Thomas W. Miller D.C., Inc.

  • Chiropractor
  • Coon Rapids, MN
  • NPI 1134175862
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1720356355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW, ST 101",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-754-1482",
            "fax_number": "763-754-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 HANSON BLVD NW",
            "address_2": "ST 101",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333992",
            "telephone_number": "763-754-1482",
            "fax_number": "763-754-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIZONI",
        "first_name": "SHANNA",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "MILLER",
            "middle_name": "COLLEEN",
            "prefix": "DR.",
            "credential": "SHANNA SHOUMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Jean Georgeson, RPH
• Maya Gerads
• Molly E Gerads, AU.D.
• Masood Raheem Ghazali, M.B., B.S.
• Ephraim Ghide, MD
• Donald L Gibson, D.C.
• Patrice Marie Gierdal
• Calsi Gilbertson
• Abigail Gilgenbach
• Allison Hentschell Ginther

• Chiropractor in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.