Individual provider Active NPI

William Laurence Sheppard Jr., D.C.

  • Chiropractor
  • Katy, TX
National Provider Identifier
1316019516
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8013 Issued in TX
Practice address
720 South Mason Rd.
Katy, TX 77450
Phone
(281) 392-6550
Fax
(281) 392-5008
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8013 TX Primary

Addresses

Primary practice location

720 South Mason Rd.
Katy, TX 77450

Mailing address

720 South Mason Rd.
Katy, TX 77450
Phone (281) 392-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612000666 TX Practitioner - Chiropractic 0244563112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 S Mason Rd
Katy, TX 77450-3419
Phone (281) 392-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8013TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Entities Inc Chiropractor Current Accepting new patients
United Chiropractic and Medical PLLC CurrentSince Dec 27, 2018 Accepting new patients
Doctors Alliance LLC Past Accepting new patients

Locations

607 S Mason Rd
Katy, TX 77450
Phone (281) 392-6550

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1316019516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SOUTH MASON RD.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-392-6550",
            "fax_number": "281-392-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SOUTH MASON RD.",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-392-6550",
            "fax_number": "281-392-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "WILLIAM",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.