Shannahan Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 24900 Issued in CA

Legal business name

SHANNAHAN CHIROPRACTIC, INC.

Doing business as

Inner Balance Institute

Practice address

1764 San Diego Ave Ste 140
San Diego, CA 92110-1987

Phone

(619) 543-9999

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Evans Shannahan, D.C.NPI 1306838990

Title

President

Phone

(619) 543-9999

Specialties & licenses 1

Addresses

Other names 1

• Inner Balance Institute Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Evans Shannahan, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1306838990
  NPD (past) Authorized official
• Kristen M Robison, D.C.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1972041226
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1881814077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE STE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-543-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 SAN DIEGO AVE STE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101987",
            "telephone_number": "619-543-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNAHAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "SHANNAHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-543-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Balance Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amiee Shanks
• Dawn Marie Shanks
• Kiely Shanks, B.A.
• Marea Shanks, OT
• Norma Alicia Shanks
• Timothy Evans Shannahan, D.C.
• Shannon L Granger DO Inc
• Shannon Myers Aud Cnim a Professional Audiology Corporation
• Kelli Kazlauskas Shannon, M.D.
• Shanti Acupuncture

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.