Individual provider Active NPI

Shannon White, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1922155035
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06923 Issued in IA
Practice address
4150 Westown Pkwy
Ste. 201
West Des Moines, IA 50266-5901
Phone
(515) 267-9956
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06923 IA Primary

Addresses

Primary practice location

4150 Westown Pkwy
Ste. 201
West Des Moines, IA 50266-5901

Mailing address

4150 Westown Pkwy
Ste. 201
West Des Moines, IA 50266-5901
Phone (515) 267-9956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071030000500 IA Practitioner - Chiropractic 3274635313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic in Motion, Inc.Group PAC ID 5799872321, 2 clinicians

Practice addresses (Care Compare)

4150 Westown Pkwy
Suite 202
West Des Moines, IA 50266-5901
Phone (515) 267-9956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1447NEMDProfessional Counselor
06923IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic in Motion, Inc. Chiropractor CurrentSince Dec 1, 2007 Accepting new patients

Locations

4150 Westown Pkwy
Ste 202
West Des Moines, IA 50266
Phone (515) 267-9956

4150 Westown Pkwy
Ste 201
West Des Moines, IA 50266
Phone (515) 267-9956

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1922155035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 WESTOWN PKWY",
            "address_2": "STE. 201",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665901",
            "telephone_number": "515-267-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 WESTOWN PKWY",
            "address_2": "STE. 201",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665901",
            "telephone_number": "515-267-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.