Organization Active NPI

Healthy Life Chiropractic LLC

  • Chiropractor
  • Shawnee Mission, KS
National Provider Identifier
1760806301
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05013 Issued in KS
Legal business name
HEALTHY LIFE CHIROPRACTIC LLC
Practice address
7410 Switzer St
Shawnee Mission, KS 66203-4550
Phone
(913) 962-7408
Fax
(913) 962-7416
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Shannon Rachelle Pishny, DCNPI 1043233059
Title
Owner
Phone
(913) 962-7408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05013 KS Primary

Addresses

Primary practice location

7410 Switzer St
Shawnee Mission, KS 66203-4550

Mailing address

7410 Switzer St
Shawnee Mission, KS 66203-4550
Phone (913) 962-7408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421000796 KS Part B Supplier - Clinic/Group Practice 0648402909 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee Mission, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1760806301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 SWITZER ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662034550",
            "telephone_number": "913-962-7408",
            "fax_number": "913-962-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 SWITZER ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662034550",
            "telephone_number": "913-962-7408",
            "fax_number": "913-962-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "PISHNY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-962-7408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.