Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639389273 Deactivated / Inactive NPI Male Practitioner

Dr. Michael C Shine , DC

Chiropractor • Sioux City, IA

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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. Michael Shine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date December 12, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Shine, DC was a registered Chiropractor practicing in Sioux City, IA. Throughout an active medical career spanning 11 years, Dr. Shine provided care at the practice location at 3500 LAKEPORT AVE until profile deactivation on 2018-12-12.

Practice Location & Contact Primary Location

Practice Address

3500 Lakeport Ave

Sioux City, IA 51106

Telephone 7122025433
Associated Practice Facility / Clinic
🏢 Shine For Health Facility NPI 1164618922

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Sioux City, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.9 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
48 Specialists

Practicing in Sioux City, IA (2109 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IA 06954

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 12, 2018

Record deactivated on December 12, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3500 LAKEPORT AVE, SIOUX CITY, IA 51106 (Tel: 7122025433)

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Updated Business Mailing Address July 08, 2007

Registered at 400 WILD PLUM WAY, SERGEANT BLUFF, IA 510543502 (Tel: 7129431755)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SHINE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #06954 in IA)

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Initial NPI Registration & Enumeration May 23, 2007

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: 1639389273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Deactivation Date: December 12, 2018

Mailing Address

400 Wild Plum Way

Sergeant Bluff, IA 510543502

Phone: 7129431755

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.