Shannon Simmons, DC, CKTP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5194 Issued in KS

Practice address

121 W Main St
Sedan, KS 67361-1511

Phone

(620) 725-3005

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aligned Roop Chiropractic, P.a.

  • Chiropractor
  • Manhattan, KS
  • NPI 1700089489
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1740447192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611511",
            "telephone_number": "620-725-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611511",
            "telephone_number": "620-725-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "DC, CKTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "5194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedan City Hospital
• Sedan City Hospital
• Daniel Sellers
• Colin Michael Shawhan, D.D.S.
• David L Short, PA-C
• Marie J Strickler, PTA
• Mia Danielle Stroble, APRN
• STTT Dental Services LLC Corp
• William Newton Memorial Hospital
• Gabriel W Wurdeman, DDS

• All providers in Sedan, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.