Sherwood Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3809-012 Issued in WI

Legal business name

SHERWOOD CHIROPRACTIC SC

Practice address

N275 Military Rd
Suite 2
Sherwood, WI 54169-9603

Phone

(920) 989-1599

Fax

(920) 989-1593

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Peterson, DCNPI 1316975683

Title

Chiropractor

Phone

(920) 989-1599

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Shannon Peterson, DC

  • Chiropractor
  • Sherwood, WI
  • NPI 1316975683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396812905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N275 MILITARY RD",
            "address_2": "SUITE 2",
            "city": "SHERWOOD",
            "state": "WI",
            "postal_code": "541699603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N275 MILITARY RD",
            "address_2": "SUITE 2",
            "city": "SHERWOOD",
            "state": "WI",
            "postal_code": "541699603",
            "telephone_number": "920-989-1599",
            "fax_number": "920-989-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-989-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3809-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38937000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Mary Matthias, COTA
• Shannon Peterson, DC
• Daniel Lee Preissner
• Amy Schmitz
• Sidney B. Schulz, D.D.S.
• Sherwood Dental S.C.
• Emma Weiblen
• Yurk Counseling Services

• Chiropractor in Sherwood, WI
• Providers in Sherwood, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.