Jacob Michael Shuppe, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4449 Issued in NC

Practice address

1330 5TH Ave
Garner, NC 27529-3638

Phone

(563) 275-8719

NPI assigned

Sep 16, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Freedom Family Chiropractic, PLLC

  • Chiropractor
  • Garner, NC
  • NPI 1710389242
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1033510565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 5TH AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 5TH AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293638",
            "telephone_number": "563-275-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPPE",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Amanda Shepherd, APRN
• Kimberly Anne Sherwin, MS CCC-SLP
• Patrick J Shine, DMD
• Halimah Shire
• Lynnetta Marie Shoop, NP
• Stephanie Shurtleff, PHARMD
• Grace Siefring
• Rachel Anne Gregg Sigmon, DDS
• Elizabeth Leah Sinclair
• Richard D Skillen, M.D.

• Chiropractor in Garner, NC
• Providers in Garner, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.