Individual provider Active NPI

Sheldon C Deal

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1063426583
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
567 Issued in AZ
Practice address
1001 N Swan Rd
Tucson, AZ 85711-1215
Phone
(520) 323-7133
Fax
(520) 323-8252
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 567 AZ Primary

Addresses

Primary practice location

1001 N Swan Rd
Tucson, AZ 85711-1215

Mailing address

1001 N Swan Rd
Tucson, AZ 85711-1215
Phone (520) 323-7133

Other identifiers 2

IdentifierTypeStateIssuer
350627466OtherMEDICARE RAILROAD
AZ0080910OtherAZBCBS AZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000578 AZ Practitioner - Chiropractic 2365450251 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1965
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 N Swan Rd
Tucson, AZ 85711-1215
Phone (520) 323-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
5TH Street Associates, Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1063426583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111215",
            "telephone_number": "520-323-7133",
            "fax_number": "520-323-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111215",
            "telephone_number": "520-323-7133",
            "fax_number": "520-323-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "SHELDON",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350627466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "AZ0080910",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.