Individual provider Active NPI

Shena Martin, DC

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1891250551
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12727 Issued in FL
Practice address
8386 Market St
Lakewood Ranch, FL 34202-5137
Phone
(941) 210-7057
Fax
(941) 210-7056
NPI assigned
Feb 7, 2019
Last updated
Feb 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12727 FL Primary

Addresses

Primary practice location

8386 Market St
Lakewood Ranch, FL 34202-5137

Mailing address

8386 Market St
Lakewood Ranch, FL 34202-5137
Phone (941) 210-7057

Other identifiers 1

IdentifierTypeStateIssuer
1710170675OtherFLNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214002517 FL Practitioner - Chiropractic 2769720820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hornback Chiropractic and Wellness PAGroup PAC ID 7012074784, 5 clinicians

Practice addresses (Care Compare)

8386 Market St
Lakewood Ranch, FL 34202-5137
Phone (941) 210-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hornback Chiropractic and Wellness PA Chiropractor CurrentSince Feb 6, 2019 Accepting new patients

Locations

11023 Gatewood Dr
Bradenton, FL 34211

11023 Gatewood Dr
Ste 101
Lakewood Ranch, FL 34211
Phone (941) 744-1585

6987 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 210-7057

8386 Market St
Lakewood Ranch, FL 34202
Phone (941) 210-7057

9544 Buffalo Rd
Palmetto, FL 34221
Phone (941) 417-2069

Organizations & group practices 1

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1891250551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8386 MARKET ST",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-210-7057",
            "fax_number": "941-210-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8386 MARKET ST",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-210-7057",
            "fax_number": "941-210-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHENA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710170675",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.