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SHANE K WISEHART DC
NPI 1649385980
Chiropractor in Los Alamos, NM

Active since August 19, 2006
35 BONNIE VIEW DR, STE 3, LOS ALAMOS, NM 87547(505) 672-9774 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane K Wisehart Dc NPPES

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

SHANE K WISEHART DC (NPI 1649385980) is an individual chiropractor in Los Alamos, New Mexico, licensed in New Mexico (1186) and active in the NPI registry since August 2006. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1649385980
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSHANE K WISEHARTCredential: DC
Location Address35 BONNIE VIEW DR, STE 3Los Alamos, NM 87547-3737
Mailing Address35 Bonnie View Dr, Ste 3Los Alamos, NM 87547-3737 · (505) 672-9774
Phone(505) 672-9774
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 19, 2006
Last NPPES UpdateFebruary 8, 2017
✔ NPI 1649385980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in NM · 1186✔ Licensed in UT · 2943171202✔ Licensed in TX · 5885
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.
35 BONNIE VIEW DR, Los Alamos, NM 87547
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Other Identifiers 1

Medicare UPINU30756

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane K Wisehart Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870775737
PECOS Enrollment IDI20110314000753

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
531 services65 patients

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 Shane Wisehart's NPI number?

The NPI number for Shane Wisehart is 1649385980. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Shane Wisehart located?

Shane Wisehart practices at 35 Bonnie View Dr Ste 3, Los Alamos, NM 87547. The listed phone number is (505) 672-9774.

What is Shane Wisehart's specialty?

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

Is Shane Wisehart enrolled in Medicare?

Yes. Shane Wisehart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Wisehart was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.