Active NPI
Ryan Dale Shakley, D.C.
- Chiropractor
- Annapolis, MD
National Provider Identifier
1912151234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03565
- Practice address
- 185 Harry S Truman Pkwy Ste 100
Annapolis, MD 21401-7580 - Phone
- (410) 263-4171
- Fax
- (410) 263-4275
- NPI assigned
- Nov 13, 2008
- Last updated
- May 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 03565 | MD | Primary |
Addresses
Primary practice location
185 Harry S Truman Pkwy Ste 100
Annapolis, MD 21401-7580
Mailing address
185 Harry S Truman Pkwy Ste 100
Annapolis, MD 21401-7580
Phone (210) 263-4171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
185 Harry S Truman Pkwy
Suite 100
Annapolis, MD 21401-7580
Phone (410) 263-4171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03565 | MD | MD | Chiropractor |
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.
-
- Clinic/Center
- Annapolis, MD
- NPI 1164813614
-
- Physical Medicine & Rehabilitation Physician
- Annapolis, MD
- NPI 1619625241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1912151234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 HARRY S TRUMAN PKWY STE 100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017580",
"telephone_number": "210-263-4171",
"fax_number": "410-263-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 HARRY S TRUMAN PKWY STE 100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017580",
"telephone_number": "410-263-4171",
"fax_number": "410-263-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKLEY",
"first_name": "RYAN",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-13",
"last_updated": "2022-05-03",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "03565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.