Organization Active NPI

Sheridan Chiropractic, Inc.

  • Chiropractor
  • Menifee, CA
National Provider Identifier
1437385960
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18954 Issued in CA
Legal business name
SHERIDAN CHIROPRACTIC, INC.
Practice address
26900 Newport Rd
Suite 110
Menifee, CA 92584-9222
Phone
(951) 672-8060
Fax
(951) 672-7490
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Sean S. Sheridan, DC
Title
Director
Phone
(951) 672-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC18954 CA Primary

Addresses

Primary practice location

26900 Newport Rd
Suite 110
Menifee, CA 92584-9222

Mailing address

26900 Newport Rd
Suite 110
Menifee, CA 92584-9222
Phone (951) 672-8060

National Provider Directory

National Provider Directory

Locations

1485 Spruce St
Ste I
Riverside, CA 92507
Phone (951) 462-1285

1485 Spruce St
Ste 1
Riverside, CA 92507

26900 Newport Rd
Ste 110
Sun City, CA 92584
Phone (909) 672-8060

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1437385960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 NEWPORT RD",
            "address_2": "SUITE 110",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849222",
            "telephone_number": "951-672-8060",
            "fax_number": "951-672-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 NEWPORT RD",
            "address_2": "SUITE 110",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849222",
            "telephone_number": "951-672-8060",
            "fax_number": "951-672-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-672-8060",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.