Active NPI
Jonathan Ryan Shaner, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1932440476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12267
- Practice address
- 6500 N Mopac Expy
BLDG. 3, Suite 101
Austin, TX 78731-3282 - Phone
- (512) 491-7772
- Fax
- (512) 339-6806
- NPI assigned
- Mar 7, 2013
- 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 | 12267 | TX | Primary |
Addresses
Primary practice location
6500 N Mopac Expy
BLDG. 3, Suite 101
Austin, TX 78731-3282
Mailing address
6500 N Mopac Expy
BLDG. 3, Suite 101
Austin, TX 78731-3282
Phone (512) 491-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1932440476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 N MOPAC EXPY",
"address_2": "BLDG. 3, SUITE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313282",
"telephone_number": "512-491-7772",
"fax_number": "512-339-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 N MOPAC EXPY",
"address_2": "BLDG. 3, SUITE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313282",
"telephone_number": "512-491-7772",
"fax_number": "512-339-6806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANER",
"first_name": "JONATHAN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.