Active NPI
Shane Jeffery Hancock, DC
- Chiropractor
- Spring, TX
National Provider Identifier
1871679324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8353
- Practice address
- 3930 Louetta Rd
A
Spring, TX 77388-4565 - Phone
- (281) 528-9177
- Fax
- (281) 528-9545
- NPI assigned
- Oct 27, 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 | 8353 | TX | Primary |
Addresses
Primary practice location
3930 Louetta Rd
A
Spring, TX 77388-4565
Mailing address
3930 Louetta Rd Ste a
Spring, TX 77388-4565
Phone (281) 528-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8353 | Other | TX | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8353 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regency Rehab Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Spring, TX
- NPI 1588022750
-
- Rehabilitation Clinic/Center
- Houston, TX
- NPI 1700853181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1871679324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 LOUETTA RD STE A",
"city": "SPRING",
"state": "TX",
"postal_code": "773884565",
"telephone_number": "281-528-9177",
"fax_number": "281-528-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 LOUETTA RD",
"address_2": "A",
"city": "SPRING",
"state": "TX",
"postal_code": "773884565",
"telephone_number": "281-528-9177",
"fax_number": "281-528-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "SHANE",
"middle_name": "JEFFERY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8353",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.