Active NPI
Shepherd Family Chiropractic PLLC
- Clinic/Center
- Seattle, WA
National Provider Identifier
1205489267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SHEPHERD FAMILY CHIROPRACTIC PLLC
- Practice address
- 1500 Westlake Ave N Ste 118
Seattle, WA 98109-3036 - Phone
- (206) 691-1800
- Fax
- (206) 691-1810
- NPI assigned
- Jul 18, 2019
- Organization subpart
- Yes
- Parent organization
- SHEPHERD FAMILY CHIROPRACITC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Shepherd III, D.C.
- Title
- Managing Member
- Phone
- (206) 691-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1500 Westlake Ave N Ste 118
Seattle, WA 98109-3036
Mailing address
1500 Westlake Ave N Ste 118
Seattle, WA 98109-3036
Phone (206) 691-1800
Other names 2
- SHEPHERD FAMILY CHIROPRACITC
- Shepherd Family Chiropractic
National Provider Directory
National Provider Directory- Part of
- Shepherd Chiropractic C
Locations
1500 Westlake Ave N
Ste 118
Seattle, WA 98109
Phone (206) 691-1800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Seattle, WA
- NPI 1629073515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563408000000",
"number": "1205489267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WESTLAKE AVE N STE 118",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093036",
"telephone_number": "206-691-1800",
"fax_number": "206-691-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WESTLAKE AVE N STE 118",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093036",
"telephone_number": "206-691-1800",
"fax_number": "206-691-1810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEPHERD FAMILY CHIROPRACTIC PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHEPHERD FAMILY CHIROPRACITC",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A",
"authorized_official_last_name": "SHEPHERD",
"authorized_official_first_name": "EDWIN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "206-691-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SHEPHERD FAMILY CHIROPRACITC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shepherd Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.