Organization Active NPI

Sheppard Chiropractic LLC

Doing business as Oregon Head and Neck

  • Chiropractor
  • Bend, OR
National Provider Identifier
1326662701
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SHEPPARD CHIROPRACTIC LLC
Doing business as
Oregon Head and Neck
Practice address
243 SW Scalehouse Loop Ste 1a
Bend, OR 97702-1278
Phone
(541) 213-2190
Fax
(541) 213-2649
NPI assigned
Jun 2, 2020
Last updated
Jun 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Ian Douglas Sheppard, DCNPI 1932450228
Title
Owner
Phone
(541) 213-2190

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)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

243 SW Scalehouse Loop Ste 1a
Bend, OR 97702-1278

Mailing address

243 SW Scalehouse Loop Ste 1a
Bend, OR 97702-1278
Phone (541) 213-2190

Other names 1

  • Oregon Head and Neck Doing business as

National Provider Directory

National Provider Directory

Locations

243 SW Scalehouse Loop
Ste 1A
Bend, OR 97702
Phone (541) 213-2190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1326662701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 SW SCALEHOUSE LOOP STE 1A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021278",
            "telephone_number": "541-213-2190",
            "fax_number": "541-213-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 SW SCALEHOUSE LOOP STE 1A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021278",
            "telephone_number": "541-213-2190",
            "fax_number": "541-213-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-213-2190",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Head and Neck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.