Individual provider Active NPI

Shayne N Bushong, D.C.

  • Neurology Chiropractor
  • Lancaster, PA
National Provider Identifier
1962591636
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC007214L Issued in PA
Practice address
1361 Fruitville Pike
Lancaster, PA 17601-4001
Phone
(717) 299-9600
Fax
(717) 299-4146
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC007214L PA Primary

Addresses

Primary practice location

1361 Fruitville Pike
Lancaster, PA 17601-4001

Mailing address

1361 Fruitville Pike
Lancaster, PA 17601-4001
Phone (717) 299-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000524 PA Practitioner - Chiropractic 5092756361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Associates of Lancaster, IncGroup PAC ID 5991937609, 2 clinicians

Practice addresses (Care Compare)

221 Granite Run Dr
Lancaster, PA 17601-6805
Phone (717) 299-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007214LPAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Lancaster Inc Neurology CurrentSince Jan 1, 2014 Accepting new patients
Chiropractic Associates PastSince Jan 1, 1990 Accepting new patients

Locations

1361 Fruitville Pike
Lancaster, PA 17601
Phone (717) 299-9600

221 Granite Run Dr
Lancaster, PA 17601
Phone (717) 299-6900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1962591636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FRUITVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014001",
            "telephone_number": "717-299-9600",
            "fax_number": "717-299-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FRUITVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014001",
            "telephone_number": "717-299-9600",
            "fax_number": "717-299-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "SHAYNE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC007214L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.