NPIMap

Organization Active NPI

Quezada Enterprises Inc

Doing business as Shepherd Chiropractic

  • Chiropractor
  • Enumclaw, WA
National Provider Identifier
1366086530
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
QUEZADA ENTERPRISES INC
Doing business as
Shepherd Chiropractic
Practice address
28801 SE 480TH St
Enumclaw, WA 98022-9357
Phone
(360) 825-1344
Fax
(360) 802-2442
NPI assigned
Oct 31, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Dr. Donna M Quezada, DCNPI 1386788693
Title
Secretary Treasurer
Phone
(360) 825-1344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Neurology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN0400X
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X

Addresses

Primary practice location

28801 SE 480TH St
Enumclaw, WA 98022-9357

Mailing address

28801 SE 480TH St
Enumclaw, WA 98022-9357
Phone (360) 825-1344

Other names 1

  • Shepherd Chiropractic Doing business as

National Provider Directory

National Provider Directory

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": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1366086530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28801 SE 480TH ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229357",
            "telephone_number": "360-825-1344",
            "fax_number": "360-802-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28801 SE 480TH ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229357",
            "telephone_number": "360-825-1344",
            "fax_number": "360-802-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEZADA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "360-825-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shepherd Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.