DR. TIMOTHY EVANS SHANNAHAN D.C.
NPI 1306838990
Chiropractor in San Diego, CA

Active since August 18, 2005
1764 SAN DIEGO AVE STE 140, SAN DIEGO, CA 92110(619) 543-9999 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy Evans Shannahan D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY EVANS SHANNAHAN D.C. (NPI 1306838990) is an individual chiropractor in San Diego, California, licensed in California (24900) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1306838990
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY EVANS SHANNAHANCredential: D.C.
Location Address1764 SAN DIEGO AVE STE 140San Diego, CA 92110-1987
Mailing Address1764 San Diego Ave Ste 140San Diego, CA 92110-1987 · (619) 543-9999
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateSeptember 29, 2015
NPI 1306838990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 24900
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.

1764 SAN DIEGO AVE STE 140, San Diego, CA 92110

Other Identifiers 1

Medicare ID-Type UnspecifiedDC24900CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1764 SAN DIEGO AVE STE 140
SAN DIEGO, CA 92110

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 Timothy Shannahan's NPI number?

The NPI number for Timothy Shannahan is 1306838990. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Timothy Shannahan located?

Timothy Shannahan practices at 1764 San Diego Ave Ste 140, San Diego, CA 92110. The listed phone number is (619) 543-9999.

What is Timothy Shannahan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Timothy Shannahan was last updated on September 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.