Individual provider Active NPI

Shawn Wherry, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1144330036
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5810 Issued in AZ
Practice address
34406 N. 27TH Dr., BLDG. 6
Suite 116
Phoenix, AZ 85085
Phone
(623) 266-0035
Fax
(623) 321-6161
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5810 AZ Primary

Addresses

Primary practice location

34406 N. 27TH Dr., BLDG. 6
Suite 116
Phoenix, AZ 85085

Mailing address

43615 N Ericson LN
New River, AZ 85087-6142

Other identifiers 1

IdentifierTypeStateIssuer
AZ0936930OtherAZBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sonoranspine@icloud.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001240 AZ Practitioner - Chiropractic 2264409614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34406 N 27TH Dr
Suite 116
Phoenix, AZ 85085-7730
Phone (623) 266-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5810AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wherry Chiropractic, Inc Chiropractor CurrentSince May 12, 2009 Accepting new patients
Koepke Clinic for Chiropractic PC Chiropractor Past Accepting new patients

Locations

2525 W Carefree Hwy
Ste 100
Phoenix, AZ 85085
Phone (623) 587-0272

1727 E Bell Rd
Phoenix, AZ 85022
Phone (602) 765-7246

34406 N 27th Dr
Ste 140
Phoenix, AZ 85085
Phone (480) 648-5217

34406 N 27th Dr
Ste 116
Phoenix, AZ 85085
Phone (623) 223-1350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1144330036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43615 N ERICSON LN",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850876142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N. 27TH DR., BLDG. 6",
            "address_2": "SUITE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-266-0035",
            "fax_number": "623-321-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHERRY",
        "first_name": "SHAWN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0936930",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sonoranspine@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "34406 N. 27th Dr., Bldg. 6",
            "address_2": "Suite 116",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.