OrganizationActive
Shannon Clinic
NPI 1285946913 · Customized Equipment (DME) · San Angelo, TX
Shannon Clinic is a Customized Equipment (DME) organization in San Angelo, TX (NPI 1285946913).
Provider details
- NPI number
- 1285946913
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Ricardo Villarreal, Cao(325) 481-8248
- License
- 1210 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone: (325) 653-9235
Fax: (325) 653-9284
Street-level locationGet directions
Mailing address
Po Box 22000
San Angelo, TX 76902-7200
Other names (DBA / former)
- Doing business as
- Shannon Clinic Orthotics
- Doing business as
- Shannon Clinic Orthotics
Registry dates
- Enumerated
- 2010-07-10
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Shannon Clinic's NPI number?
- Shannon Clinic's National Provider Identifier (NPI) is 1285946913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Clinic?
- Shannon Clinic is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Shannon Clinic located?
- Shannon Clinic's practice location on file with NPPES is 120 E Beauregard Ave, San Angelo, TX 76903-5919.
- What is Shannon Clinic's phone number?
- The practice phone number listed in the NPPES registry for Shannon Clinic is (325) 653-9235.
- Who is the authorized official for Shannon Clinic?
- The authorized official listed on Shannon Clinic's NPPES record is Ricardo Villarreal, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Clinic's NPI active?
- Yes — Shannon Clinic's NPI (1285946913) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.