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

Shane K Wisehart, DC

Individual provider Chiropractor · NPI 1649385980

Shane K Wisehart, DC is a Chiropractic in Los Alamos, New Mexico. Qualified in 1991, 35 years ago. Practices as a sole proprietor. Licensed in New Mexico, Texas and Utah.

Years since qualifying
35
Licensed in
NM, TX, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

35 Bonnie View Dr Ste 3
Los Alamos, NM 87547-3737
Phone: (505) 672-9774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 1186 (NM)
Chiropractor Taxonomy 111N00000X · Licence 5885 (TX)
Chiropractor Taxonomy 111N00000X · Licence 2943171202 (UT)

Record details

NPI number1649385980
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 19, 2006
Last updated in NPPESFebruary 8, 2017
Mailing address35 Bonnie View Dr, Ste 3, Los Alamos, NM 87547-3737

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated

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