Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1598301020 Deactivated / Inactive NPI Female Practitioner

Dr. Shantai Irene Mancuso , DC, BSC

Chiropractor • Highlands Ranch, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shantai Mancuso has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 19, 2019
NPI Deactivation Date December 10, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Shantai Mancuso, DC, BSC was a registered Chiropractor practicing in Highlands Ranch, CO. Throughout an active medical career spanning 1 years, Dr. Mancuso provided care at the practice location at 9090 RIDGELINE BLVD STE 205 until profile deactivation on 2019-12-10.

Practice Location & Contact Primary Location

Practice Address

9090 Ridgeline Blvd Ste 205

Highlands Ranch, CO 801292505

Telephone 3036839494
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Highlands Ranch, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
37 Specialists

Practicing in Highlands Ranch, CO (2434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-31
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CO CHR-0008097

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063055960

Doctor of Chiropractic

Meghan Jeske

Chiropractor

NPI 1083437065
Jason Mctavish

Chiropractor

NPI 1801954151

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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Updated Practice Location January 31, 2024

Registered at 9090 RIDGELINE BLVD STE 205, HIGHLANDS RANCH, CO 801292505 (Tel: 3036839494)

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Updated Business Mailing Address January 31, 2024

Registered at 9090 RIDGELINE BLVD STE 205, HIGHLANDS RANCH, CO 801292505 (Tel: 3036839494)

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Provider Name / Credentials Updated January 31, 2024

Recorded as SHANTAI MANCUSO, DC, BSC

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NPI Profile Reactivated December 20, 2019

Record officially reactivated for active practice on December 20, 2019

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Updated Practice Location December 20, 2019

Registered at 5002 E HAMPDEN AVE UNIT B, DENVER, CO 802227383 (Tel: 7205099379)

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Updated Business Mailing Address December 20, 2019

Registered at 3200 BRIGHTON BLVD UNIT 459, DENVER, CO 802165066 (Tel: 4083914346)

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Provider Name / Credentials Updated December 20, 2019

Recorded as SHANTAI WATSON, DC, BSC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2019

Chiropractor (License #CHR-0008097 in CO)

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NPI Profile Deactivated December 10, 2019

Record deactivated on December 10, 2019

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Initial NPI Registration & Enumeration November 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598301020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2019
Last Update: January 31, 2024
Deactivation Date: December 10, 2019
Sole Proprietor: Yes

Mailing Address

9090 Ridgeline Blvd Ste 205

Highlands Ranch, CO 801292505

Phone: 3036839494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.