Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark R Shane, DC

Individual provider Chiropractor · NPI 1306977467

Dr. Mark R Shane, DC is a Chiropractic in Cody, Wyoming. Graduated from Life Chiropractic College - West in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
41
Trained at
Life Chiropractic College - West
Licensed in
WY
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1708 Stampede Ave Ste C
Cody, WY 82414-4829
Phone: (307) 587-5591
Fax: (307) 587-4399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 747 (WY)

Record details

NPI number1306977467
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 17, 2015
Mailing address1708 Stampede Ave, Suite C, Cody, WY 82414-4829

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE - WEST
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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