Individual provider Active NPI

Daniel Scott Shannon, D.C.

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1720403546
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32873 Issued in CA
Practice address
268 Lombard St
Thousand Oaks, CA 91360-8223
Phone
(805) 312-8922
NPI assigned
Mar 3, 2014
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32873 CA Primary

Addresses

Primary practice location

268 Lombard St
Thousand Oaks, CA 91360-8223

Mailing address

268 Lombard St
Thousand Oaks, CA 91360-8223
Phone (805) 312-8922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311000205 CA Practitioner - Chiropractic 7911243126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Precision Chiropractic Shannon CorporationGroup PAC ID 9830435049, 2 clinicians

Practice addresses (Care Compare)

268 Lombard St
Thousand Oaks, CA 91360-8223
Phone (805) 312-8922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32873CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Chiropractic Shannon Corporation Chiropractor CurrentSince May 6, 2018 Accepting new patients

Locations

268 Lombard St
Thousand Oaks, CA 91360
Phone (805) 312-8922

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1720403546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608223",
            "telephone_number": "805-312-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608223",
            "telephone_number": "805-312-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-03",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.