Individual provider Active NPI

Jordan Sheffer, DC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1386278943
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8889 Issued in AZ
Practice address
2292 W Magee Rd Ste 170
Tucson, AZ 85742-4302
Phone
(520) 797-2922
Fax
(520) 742-0732
NPI assigned
Feb 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8889 AZ Primary

Addresses

Primary practice location

2292 W Magee Rd Ste 170
Tucson, AZ 85742-4302

Mailing address

2292 W Magee Rd Ste 170
Tucson, AZ 85742-4302
Phone (520) 797-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002501 AZ Practitioner - Chiropractic 1456773647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shipley Chiropractic P CGroup PAC ID 8224020979, 2 clinicians

Practice addresses (Care Compare)

2292 W Magee Rd
Suite 170
Tucson, AZ 85742-4302
Phone (520) 797-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8889AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shipley Chiropractic PC Chiropractor CurrentSince Jun 3, 2020 Accepting new patients

Locations

2292 W Magee Rd
Ste 170
Tucson, AZ 85742
Phone (520) 797-2922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1386278943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD STE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424302",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD STE 170",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424302",
            "telephone_number": "520-797-2922",
            "fax_number": "520-742-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFER",
        "first_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.