Individual provider Active NPI

Steve Randall Sheldon, D.C.

  • Nutrition Chiropractor
  • Troy, MI
National Provider Identifier
1356483630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
SS005102 Issued in MI
Practice address
6455 Rochester Rd
Troy, MI 48085-1306
Phone
(248) 813-7777
Fax
(248) 813-7770
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X SS005102 MI Primary

Addresses

Primary practice location

6455 Rochester Rd
Troy, MI 48085-1306

Mailing address

6455 Rochester Rd
Troy, MI 48085-1306
Phone (248) 813-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000592 MI Practitioner - Chiropractic 8325142441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life's Adjustments PCGroup PAC ID 9830293943, 2 clinicians

Practice addresses (Care Compare)

32 S Squirrel Rd a
Auburn Hills, MI 48326-3287
Phone (248) 289-6870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SS005102MIMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life's Adjustments PC CurrentSince Mar 27, 1985 Accepting new patients

Locations

32 S Squirrel Rd
Ste A
Auburn Hills, MI 48326
Phone (248) 289-6870

6455 Rochester Rd
Troy, MI 48085
Phone (248) 813-7777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356483630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851306",
            "telephone_number": "248-813-7777",
            "fax_number": "248-813-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851306",
            "telephone_number": "248-813-7777",
            "fax_number": "248-813-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "STEVE",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MI",
            "license": "SS005102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.