Charles Edward Shields, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0108592 Issued in CA

Practice address

4140 Mother Lode Dr
Suite 112
Shingle Springs, CA 95682-8038

Phone

(530) 672-8059

Fax

(530) 672-2111

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shingle Springs Rancheria

  • Health Service Clinic/Center
  • Placerville, CA
  • NPI 1245356674
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235288366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257082",
            "telephone_number": "916-972-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 MOTHER LODE DR",
            "address_2": "SUITE 112",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828038",
            "telephone_number": "530-672-8059",
            "fax_number": "530-672-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0108592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP70630F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRATIC LICENSE NUMBE",
            "identifier": "DC0108592",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tegan Oas
• Kirsten Elizabeth Perkins, D.C.
• Kim Pierce
• Brittany Sallaberry, LCSW
• Gregory Craig Sandoval
• Pheonix Ellis Sinclair, D.D.S.
• Cristina Singh
• David Sprenger, M.D.
• Kylee Stanley
• Donald William Stoneburner, D.D.S.

• Chiropractor in Shingle Springs, CA
• Providers in Shingle Springs, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.