Ryan A Shank, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3036 Issued in OH

Practice address

713 Taywood Rd
Englewood, OH 45322-1822

Phone

(937) 558-1256

Fax

(937) 558-1273

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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 OH

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shank Chiropractic Clinic LLCGroup PAC ID 8729039219, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Shank Chiropractic Clinic LLC

  • Chiropractor
  • Englewood, OH
  • NPI 1427239359
  Medicare reassignment Care Compare group NPD
• Randall R. Shaffer, D.C. Inc.

  • Chiropractor
  • Fairborn, OH
  • NPI 1285775601
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1790727386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 TAYWOOD RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221822",
            "telephone_number": "937-558-1256",
            "fax_number": "937-558-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TAYWOOD RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221822",
            "telephone_number": "937-558-1256",
            "fax_number": "937-558-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "RYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201895215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James F Seiler, MD
• Michael Joseph Sereika, R.PH.
• Serene Healthcare Services, LLC.
• Robert Wrightsmen Shaffer, D.C.
• Shank Chiropractic Clinic LLC
• Seema Sharma, M.D.
• Melinda Shaw
• Randolph S Shaw, DDS
• Ross D. Shira, DDS
• Shontae L Howard

• Chiropractor in Englewood, OH
• Providers in Englewood, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.