DR. SHANE DONALD WHITELEY DC NPI 1003849449

NPI Information

  • NPI: 1003849449
  • Provider Name: DR. SHANE DONALD WHITELEY, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 1400 SE GOLDTREE DR
    # 207
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (772) 777-2836

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NPI Details

DR. Shane Donald Whiteley, DC is a chiropractor in Port St Lucie, FL. The provider is 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. DR. Shane Donald Whiteley, DC NPI is 1003849449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 SE GOLDTREE DR
# 207
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 777-2836
Fax: (772) 777-2837

The enumeration date for this NPI number is 7/9/2006 and was last updated on 5/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC26258CALIFORNIANo
2111N00000XChiropractorCH10830FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U74557MEDICARE UPINCALIFORNIA
2AY620MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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