Shanahan Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5329 Issued in MN

Legal business name

SHANAHAN CHIROPRACTIC LLC

Practice address

16795 County Road 24
Suite 120
Plymouth, MN 55447-1201

Phone

(651) 491-0111

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Reese Robert Shanahan, D.CNPI 1316271984

Title

Owner

Phone

(651) 491-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reese Robert Shanahan, D.C

  • Chiropractor
  • Plymouth, MN
  • NPI 1316271984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1972833119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16795 COUNTY ROAD 24",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16795 COUNTY ROAD 24",
            "address_2": "SUITE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471201",
            "telephone_number": "651-491-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANAHAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "REESE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-491-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M. Seppelt, DPT
• Seranzo Home Health
• Serene Haven LLC
• Jessica Seubert, D.D.S.
• Gail Marie Severtson, RPH
• Reese Robert Shanahan, D.C
• Ralph Scott Shapiro, M.D.
• Shauna Anderson Novak ,D.D.S.,P.a.
• Amy Lynn Shaw-Valentin, MST
• Rakiya Mukhtar Sheikhali

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.