Active NPI
Shannon Lee Bone, D.C.
- Chiropractor
- Jackson, TN
National Provider Identifier
1790756559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1772
- Practice address
- 2012 Greystone Park
Jackson, TN 38305-3575 - Phone
- (731) 664-6998
- Fax
- (731) 664-7161
- NPI assigned
- Jan 30, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1772 | TN | Primary |
Addresses
Primary practice location
2012 Greystone Park
Jackson, TN 38305-3575
Mailing address
2012 Greystone Park
Jackson, TN 38305-3575
Phone (731) 664-6998
Other names 1
- Dr. Shannon Lee Bone
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 N Star Dr
Jackson, TN 38305-5634
Phone (731) 664-6998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 45 Urgent Care, P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Jackson, TN
- NPI 1629274600
-
- Family Medicine Physician
- Jackson, TN
- NPI 1912326539
-
- Physical Medicine & Rehabilitation Physician
- Dresden, TN
- NPI 1033555248
-
- Physical Medicine & Rehabilitation Physician
- Jackson, TN
- NPI 1841636057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790756559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 GREYSTONE PARK",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053575",
"telephone_number": "731-664-6998",
"fax_number": "731-664-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 GREYSTONE PARK",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053575",
"telephone_number": "731-664-6998",
"fax_number": "731-664-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONE",
"first_name": "SHANNON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "1772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "BONE",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.