NPIMap

Organization Active NPI

Sheader Chiropractic LLC

  • Chiropractor
  • Grand JCT, CO
National Provider Identifier
1063441228
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4393 Issued in CO
Legal business name
SHEADER CHIROPRACTIC LLC
Doing business as
New Life Chiropractic
Practice address
2532 Patterson Rd Ste 15
Grand JCT, CO 81505
Phone
(970) 254-2954
Fax
(970) 254-2958
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Wesley E Sheader, D.C., D.I.C.C.P.
Title
Manager
Phone
(970) 254-2954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4393 CO Primary

Addresses

Primary practice location

2532 Patterson Rd Ste 15
Grand JCT, CO 81505

Mailing address

2532 Patterson Rd Ste 15
Grand JCT, CO 81505
Phone (970) 254-2954

Other names 1

  • New Life Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2532 Patterson Rd
Ste 15
Grand Junction, CO 81505
Phone (970) 254-2954

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1063441228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 PATTERSON RD STE 15",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-254-2954",
            "fax_number": "970-254-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 PATTERSON RD STE 15",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-254-2954",
            "fax_number": "970-254-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEADER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SHEADER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-254-2954",
        "authorized_official_credential": "D.C., D.I.C.C.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand JCT, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.