Individual provider Active NPI

Chip T Shemansky, D.C.

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1851347488
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-8023 Issued in FL
Practice address
3501 Health Center Blvd
Suite 2430
Bonita Springs, FL 34135-8127
Phone
(239) 948-5727
Fax
(239) 948-5895
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH-8023 FL Primary

Addresses

Primary practice location

3501 Health Center Blvd
Suite 2430
Bonita Springs, FL 34135-8127

Mailing address

PO Box 366235
Bonita Springs, FL 34136-6235
Phone (239) 948-5727

Other identifiers 1

IdentifierTypeStateIssuer
593701954OtherFLTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000157 FL Practitioner - Chiropractic 2062424039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24830 Burnt Pine Dr
Suite 3
Bonita Springs, FL 34134-1974
Phone (239) 948-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-8023FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shemansky Chiropractic, P.a. Chiropractor CurrentSince May 25, 2006 Accepting new patients
Shemansky Chiropractic, P.a. Chiropractor Past Accepting new patients

Locations

24830 Burnt Pine Dr
Ste 3
Bonita Springs, FL 34134
Phone (239) 703-9301

3501 Health Center Blvd
Ste 2220
Estero, FL 34135
Phone (239) 948-5727

3501 Health Center Blvd
Ste 2430
Estero, FL 34135
Phone (239) 948-5727

1044 Castello Dr
Ste 105
Naples, FL 34103
Phone (239) 290-3123

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1851347488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366235",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341366235",
            "telephone_number": "239-948-5727",
            "fax_number": "239-948-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2430",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-948-5727",
            "fax_number": "239-948-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMANSKY",
        "first_name": "CHIP",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-8023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593701954",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.