DR. SHANNON ROBERTS


Address: 3786 S East St, Indianapolis, IN 46227-1241
Phone: 3177911511

DR. SHANNON ROBERTS (NPI# 1235306119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235306119
Entity Type Individual
Full Name DR. SHANNON ROBERTS
Other Name DR. SHANNON MODDEJONGE
Credential D.C.
Practice Address 3786 S East St
Indianapolis
IN 46227-1241
Practice Telephone 3177911511
Practice Fax Number 3177911534
Mailing Telephone 3177911511
Mailing Fax Number 3177911534
Enumeration Date 2008-05-10
Last Update Date 2011-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor 3943 OH Chiropractic Providers
Y 111N00000X Chiropractor 08002519A IN Chiropractic Providers
N 111N00000X Chiropractor 10800 TX Chiropractic Providers

Other Providers SHANNON ROBERTS

NPI Name Taxonomy Address Enumeration
1528623691 Shannon Monique Roberts Behavior Technician 6148 Passionate Ct, N Las Vegas, NV 89031-3538 2019-05-04
1215496005 Shannon Ann Roberts Behavior Technician 432 West St, Gaylord, MI 49735-8301 2019-03-19
1629286869 Shannon Nicole Roberts Technician 1813 Flinthill Dr, Columbus, OH 43223-3542 2007-05-20
1780742916 Shannon Orlando Roberts Respite Care 3657 S Double Echo Rd, Tucson, AZ 85735-5132 2006-12-04
1255374880 Shannon Leigh Roberts Nurse Practitioner 7744 Conner Rd, Powell, TN 37849-3509 2006-06-13
1578182101 Shannon Leigh Roberts Chiropractor 11 E Calhoun St, Sumter, SC 29150-4315 2020-04-14
1073174215 Shannon Roberts Behavior Technician 4196 Douglas Blvd, Granite Bay, CA 95746-5904 2019-06-27
1467817072 Shannon Roberts Specialist 175 Burdette St, Spartanburg, SC 29307-1003 2015-12-24
1740535814 Shannon Dobelbower Roberts Dentist 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 2012-07-16
1992931380 Shannon Roberts Emergency Medicine 7435 W Talcott Ave, Resurrection Emergency Medicine Residency Program, Chicago, IL 60631-3707 2009-05-31

Office Location

Street Address 3786 S EAST ST
City INDIANAPOLIS
State IN
Zip Code 46227-1241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619389970 Bryan Walters Chiropractor 3786 S East St, Indianapolis, IN 46227-1241 2014-05-21
1043507940 Cardinal Wellness Services Chiropractor 3786 S East St, Indianapolis, IN 46227-1241 2011-06-30
1942593470 Cardinal Wellness Services Family Medicine 3786 S East St, Indianapolis, IN 46227-1241 2011-05-17
1861709693 East Street Spine & Rehab, Inc. Chiropractor 3786 S East St, Indianapolis, IN 46227-1241 2010-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679184477 Zachry Skinner Specialist/Technologist 1683 E Hanna Ave, Indianapolis, IN 46227 2020-08-14
1104481415 Corinne Mcdonald Music Therapist 7502 Madison Avenue, Indianapolis, IN 46227 2019-05-02
1205318649 Kesha Conner Counselor 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 2018-09-01
1609369719 Victoria Lynn West Arnold Physician Assistant 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 2018-06-13
1518466960 Debra Cottongim Physical Therapy Assistant 6329 South East St, Ste A, Indianapolis, IN 46227 2018-02-12
1962943019 Fresenius Medical Care Indiana, LLC Clinic/Center 6826 Madison Ave, Indianapolis, IN 46227 2017-03-09
1205386687 Kylie Rochelle Bontrager Dentist 3658 East Street, Indianapolis, IN 46227 2016-10-10
1013371137 Kayla Ford Occupational Therapist 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 2016-04-06
1639551344 Sara Allyn Shrivastav Technician, Other 3711 E Southport Rd, Indianapolis, IN 46227 2015-06-18
1598146565 Theodore Christian Seger Family Medicine 610 E Southport Rd Ste 205, Indianapolis, IN 46227 2015-06-15
Find all providers in zip 46227

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737552 Molly Vyzral Chiropractor 8770 Guion Rd Ste L, Indianapolis, IN 46268-3017 2020-10-09
1912529082 Traci Gross Chiropractor 1460 W 86th St, Indianapolis, IN 46260-2181 2020-05-12
1154954972 James Mccluskey Chiropractor 5935 Grandiose Dr, Indianapolis, IN 46228-4308 2020-02-20
1417587890 Abigail Wade Chiropractor 6155 N Keystone Ave Ste 700, Indianapolis, IN 46220-1485 2020-01-24
1689204174 Jennifer Brenneisen Chiropractor 971 N Delaware St, Indianapolis, IN 46202-3377 2020-01-23
1467082198 Arden Burch Chiropractor 5111 E 65th St, Indianapolis, IN 46220-4816 2020-01-22
1053951137 Restoration Family Chiropractic Chiropractor 5915 S Emerson Ave Ste 400, Indianapolis, IN 46237-1972 2020-01-07
1700432002 Carter Yoder Chiropractic LLC Chiropractor 7855 S Emerson Ave Ste Q, Indianapolis, IN 46237-8669 2019-08-13
1750935946 Chiro One Wellness Center of Indianapolis North LLC Chiropractor 6612 E 75th St Ste 110, Indianapolis, IN 46250-2821 2019-07-26
1376026393 Eric Anthony Wolf Chiropractor 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 2018-09-14
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46227

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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