Active NPI
Angela Renee Shepardson, B.S., D.C.
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1164536504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3521
- Practice address
- 12401 N May Ave
Oklahoma City, OK 73120-1967 - Phone
- (405) 842-3413
- Fax
- (405) 842-3417
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3521 | OK | Primary |
Addresses
Primary practice location
12401 N May Ave
Oklahoma City, OK 73120-1967
Mailing address
12401 N May Ave
Oklahoma City, OK 73120-1967
Phone (405) 842-3413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164536504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 N MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201967",
"telephone_number": "405-842-3413",
"fax_number": "405-842-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 N MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731201967",
"telephone_number": "405-842-3413",
"fax_number": "405-842-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARDSON",
"first_name": "ANGELA",
"middle_name": "RENEE",
"credential": "B.S., D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.