Active NPI
George Martin Shannan, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1801808431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2086
- Practice address
- 5840 Balcones Dr Ste 100
Austin, TX 78731-4246 - Phone
- (512) 452-9469
- Fax
- (512) 452-7283
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2086 | TX | Primary |
Addresses
Primary practice location
5840 Balcones Dr Ste 100
Austin, TX 78731-4246
Mailing address
6507 W Courtyard Dr
Austin, TX 78730-4922
Phone (512) 452-9469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85951G | Other | TX | BLUECROSS BLUESHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2086 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahead of the Curve Chiropractic Austin | Chiropractor | Current | Accepting new patients |
| Shanan Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
5840 Balcones Dr
Ste 100
Austin, TX 78731
Phone (512) 452-9469
Organizations & group practices 2
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.
-
- Chiropractor
- Austin, TX
- NPI 1023131695
-
- Chiropractor
- Austin, TX
- NPI 1417694936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1801808431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6507 W COURTYARD DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787304922",
"telephone_number": "512-452-9469",
"fax_number": "512-452-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314246",
"telephone_number": "512-452-9469",
"fax_number": "512-452-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNAN",
"first_name": "GEORGE",
"middle_name": "MARTIN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHEILD",
"identifier": "85951G",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.