Active NPI
Zacariah Shannon, D.C.
- Chiropractor
- Moline, IL
National Provider Identifier
1972902062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012667
- Practice address
- 1634 Avenue of the Cities
Moline, IL 61265-4860 - Phone
- (309) 429-9580
- NPI assigned
- Aug 14, 2014
- 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 | 038012667 | IL | Primary |
Addresses
Primary practice location
1634 Avenue of the Cities
Moline, IL 61265-4860
Mailing address
1634 Avenue of the Cities
Moline, IL 61265-4860
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012667 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1972902062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 AVENUE OF THE CITIES",
"city": "MOLINE",
"state": "IL",
"postal_code": "612654860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 AVENUE OF THE CITIES",
"city": "MOLINE",
"state": "IL",
"postal_code": "612654860",
"telephone_number": "309-429-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "ZACARIAH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.