Shaughnessy Rodrick Reid, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012875 Issued in IL

Practice address

2920 Chatham Rd Ste a
Springfield, IL 62704-7004

Phone

(217) 698-5800

NPI assigned

Jan 25, 2023

Sex

Male

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shaughnessy Reid DC LLC

  • Chiropractor
  • Springfield, IL
  • NPI 1194595603
  Medicare reassignment NPD Authorized official
• Reid Family Wellness 2, LLC

  • Chiropractor
  • Springfield, IL
  • NPI 1215791660
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1750097556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 S BATES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043304",
            "telephone_number": "217-725-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CHATHAM RD STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047004",
            "telephone_number": "217-698-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SHAUGHNESSY",
        "middle_name": "RODRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "92-1691334",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehabcare
• Patricia Reichart, NP
• Reid Family Wellness 2, LLC
• Adam J Reid, M.D.
• Christopher John Reid, DC
• Brittney Danielle Baird Reidy, CCC-A
• Brenda Reiling
• Clarence Raymond Reilly, MD
• Heather R Reimann, APRN
• Cheryl Jane Reindl

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.