Michael Kevin Shanks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004008978 Issued in MO

Practice address

813 N Main St
Nixa, MO 65714-9315

Phone

(417) 725-8550

Fax

(417) 725-8553

NPI assigned

Jan 2, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nixa Family Chiropractic Inc

  • Chiropractor
  • Nixa, MO
  • NPI 1790906709
  NPD (past) Authorized official
• Balance Wellness and Chiropractic Center P.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1023027828
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1851458970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N MAIN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149315",
            "telephone_number": "417-725-8550",
            "fax_number": "417-725-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N MAIN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149315",
            "telephone_number": "417-725-8550",
            "fax_number": "417-725-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004008978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Scott, PT
• Patricia Scott
• Sheila Renee Seal, M.S, CCC-SLP
• Karly Rae Seifried, LCSW
• Semaj Behavioral Services
• Simply Chiropractic LLC
• Brenda S Simpson, FNP
• Kara Sims
• Smile Up Dental LLC
• Smith Management Services, LLC

• Chiropractor in Nixa, MO
• Providers in Nixa, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.