Shepherd Chiropractic Clinic S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2077 Issued in WI

Legal business name

SHEPHERD CHIROPRACTIC CLINIC S.C.

Practice address

2343 Silvernail Rd
Pewaukee, WI 53072-5402

Phone

(262) 569-8050

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dean S. Shepherd, D.C.NPI 1992866305

Title

President

Phone

(262) 569-8050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dean Scott Shepherd, D.C.

  • Nutrition Chiropractor
  • Pewaukee, WI
  • NPI 1992866305
  Medicare reassignment Care Compare group Authorized official
• Grant Logan Johnson, DC

  • Chiropractor
  • Pewaukee, WI
  • NPI 1346957198
  Medicare reassignment Care Compare group NPD
• Erin Elizabeth Nash, D.C.

  • Chiropractor
  • Pewaukee, WI
  • NPI 1104156140
  Medicare reassignment Care Compare group NPD
• Kayci Michelle Timm, D.C

  • Chiropractor
  • Pewaukee, WI
  • NPI 1982016861
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1295918555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725402",
            "telephone_number": "262-569-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725402",
            "telephone_number": "262-569-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD CHIROPRACTIC CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-569-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Setz, DPT
• Hemangini Shah, PHARMD
• Payal Shah, O.D.
• James E Shander, MD
• Anjali Jain Sharma, M.D.
• Dean Scott Shepherd, D.C.
• Melissa Shera, DC
• Abigail Lynn Sherer
• Gary Shields, DPT
• Shoptikal LLC

• Clinic/Center in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.