Organization Active NPI

Sheradin Chiropractic Center PC

  • Chiropractor
  • Mebane, NC
National Provider Identifier
1417043613
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3097 Issued in NC
Legal business name
SHERADIN CHIROPRACTIC CENTER PC
Practice address
210 Fieldale Rd
Mebane, NC 27302-9177
Phone
(919) 563-6370
Fax
(919) 563-6371
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. Daniel Robert Sheradin, D.C.
Title
Chiropractor/Persident
Phone
(919) 563-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3097 NC Primary

Addresses

Primary practice location

210 Fieldale Rd
Mebane, NC 27302-9177

Mailing address

210 Fieldale Rd
Mebane, NC 27302-9177
Phone (919) 563-6370

National Provider Directory

National Provider Directory

Locations

210 Fieldale Rd
Mebane, NC 27302
Phone (919) 563-6370

204 Mebane Oaks Rd
Mebane, NC 27302
Phone (919) 563-6370

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1417043613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FIELDALE RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029177",
            "telephone_number": "919-563-6370",
            "fax_number": "919-563-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FIELDALE RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029177",
            "telephone_number": "919-563-6370",
            "fax_number": "919-563-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERADIN CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "SHERADIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR/PERSIDENT",
        "authorized_official_telephone_number": "919-563-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.