SHINE CHIROPRACTIC, PLLC
NPI 1205291200
Chiropractor in Lewisville, TX
About Shine Chiropractic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINE CHIROPRACTIC, PLLC (NPI 1205291200) is a healthcare organization registered as a chiropractor in Lewisville, Texas and active in the NPI registry since December 2015. The organization lists Dori R. Bonitatibus, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shine Chiropractic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shine Chiropractic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shine Chiropractic, PLLC's NPI number?
The NPI number for Shine Chiropractic, PLLC is 1205291200. It was assigned to this organization in the NPPES registry on December 18, 2015.
Where is Shine Chiropractic, PLLC located?
Shine Chiropractic, PLLC is located at 870 Hebron Pkwy # 602, Lewisville, TX 75057. The listed phone number is (972) 221-2225.
What is Shine Chiropractic, PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Shine Chiropractic, PLLC enrolled in Medicare?
Yes. Shine Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shine Chiropractic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Shine Chiropractic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shine Chiropractic, PLLC was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shine Chiropractic, Pllc · NPI 1205291200
Chiropractor organization in Lewisville, Texas. Organization record, active in the CMS NPPES registry since December 18, 2015.
## Identity
- **NPI:** 1205291200 (Entity type: Organization)
- **Enumerated:** December 18, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Dori Bonitatibus, OWNER
## Practice location
- **Address:** 870 HEBRON PKWY # 602, Lewisville, TX 75057-5003
- **Phone:** (972) 221-2225 · **Fax:** (972) 219-2225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205291200) · Data from the CMS NPPES public registry.