Active NPI
Daniel Robert Sheradin, D.C.
- Chiropractor
- Chapel Hill, NC
National Provider Identifier
1205842267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3097
- Practice address
- 1726 Fordham Blvd
Chapel Hill, NC 27514-5808 - Phone
- (919) 587-8309
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3097 | NC | Primary |
Addresses
Primary practice location
1726 Fordham Blvd
Chapel Hill, NC 27514-5808
Mailing address
721 Noah Davis Rd
Roxboro, NC 27574-9406
Phone (336) 263-3036
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3097 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1205842267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 NOAH DAVIS RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275749406",
"telephone_number": "336-263-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 FORDHAM BLVD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145808",
"telephone_number": "919-587-8309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERADIN",
"first_name": "DANIEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.