Individual provider Active NPI

Thomas G. Shearman, D.C.

  • Chiropractor
  • Murray, UT
National Provider Identifier
1447349428
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
169388-1202 Issued in UT
Practice address
1035 W 5370 S
Suite 175
Murray, UT 84123-5436
Phone
(801) 270-0222
Fax
(801) 261-5260
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 169388-1202 UT Primary

Addresses

Primary practice location

1035 W 5370 S
Suite 175
Murray, UT 84123-5436

Mailing address

1035 W 5370 S
Suite 175
Murray, UT 84123-5436
Phone (801) 270-0222

Other identifiers 2

IdentifierTypeStateIssuer
107001039101OtherUTIHC PROVIDER ID
P00064123OtherUTRR MEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169388-1202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447349428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W 5370 S",
            "address_2": "SUITE 175",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235436",
            "telephone_number": "801-270-0222",
            "fax_number": "801-261-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W 5370 S",
            "address_2": "SUITE 175",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235436",
            "telephone_number": "801-270-0222",
            "fax_number": "801-261-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARMAN",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "169388-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC PROVIDER ID",
            "identifier": "107001039101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID",
            "identifier": "P00064123",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.