Individual provider Active NPI

Shirley N Himanga, D.C.

  • Chiropractor
  • Savage, MN
National Provider Identifier
1871642181
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4497 Issued in MN
Practice address
7447 Egan Dr Ste 201
Savage, MN 55378-3303
Phone
(952) 447-3343
NPI assigned
Jan 9, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556253 VA
Chiropractor 111N00000X 4497 MN Primary

Addresses

Primary practice location

7447 Egan Dr Ste 201
Savage, MN 55378-3303

Mailing address

7447 Egan Dr Ste 201
Savage, MN 55378-3303
Phone (952) 447-3343

Other practice location 1

4207 Quaker Trl NE
Prior Lake, MN 55372-1744
Phone (612) 384-7250

Other identifiers 2

IdentifierTypeStateIssuer
305M4QUOtherMNBCBS CONTRACTING PROVIDER
305M5HIOtherMNBCBS INDIVIDUAL NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000048 MN Practitioner - Chiropractic 7810977113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyva Elama, PAGroup PAC ID 3476533779, 2 clinicians

Practice addresses (Care Compare)

7447 Egan Dr
Suite 201
Savage, MN 55378-3303
Phone (952) 447-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104556253VAMDChiropractor
4497MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyva Elama, P.a. Chiropractor CurrentSince Jul 26, 2004 Accepting new patients
Pathways Chiropractic Health Center of Savage, P.a. Chiropractor CurrentSince Sep 17, 2019 Accepting new patients
Select Therapy, Inc. Past Accepting new patients
Elite Chiropractic Clinic LLC Chiropractor PastSince Oct 1, 2019 Accepting new patients
Discover Family Chiropractic Chiropractor Past Accepting new patients

Locations

15010 Glazier Ave
Ste 104
Apple Valley, MN 55124
Phone (952) 431-3386

14233 Oconnell Ct
Ste 500
Savage, MN 55378
Phone (952) 226-5002

14247 Oconnell Ct
Ste 275
Savage, MN 55378
Phone (952) 226-5502

7447 Egan Dr
Ste 201
Savage, MN 55378
Phone (612) 384-7250

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1871642181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 EGAN DR STE 201",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783303",
            "telephone_number": "952-447-3343",
            "fax_number": "952-226-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 EGAN DR STE 201",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783303",
            "telephone_number": "952-447-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 Quaker Trl NE",
            "address_purpose": "LOCATION",
            "city": "Prior Lake",
            "state": "MN",
            "postal_code": "553721744",
            "country_code": "US",
            "telephone_number": "612-384-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMANGA",
        "first_name": "SHIRLEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556253",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CONTRACTING PROVIDER",
            "identifier": "305M4QU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "305M5HI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.