Individual provider Active NPI

Dean Carl Shepherd, D. C.

  • Chiropractor
  • Plano, TX
National Provider Identifier
1457562183
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4514 Issued in TX
Practice address
5800 Legacy Dr
Suite 12C
Plano, TX 75024-7100
Phone
(972) 446-8877
Fax
(972) 446-1142
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4514 TX Primary

Addresses

Primary practice location

5800 Legacy Dr
Suite 12C
Plano, TX 75024-7100

Mailing address

5800 Legacy Dr
Suite 12C
Plano, TX 75024-7100
Phone (972) 446-8877

Other identifiers 1

IdentifierTypeStateIssuer
DC4514OtherTXLICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1457562183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LEGACY DR",
            "address_2": "SUITE 12C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247100",
            "telephone_number": "972-446-8877",
            "fax_number": "972-446-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LEGACY DR",
            "address_2": "SUITE 12C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247100",
            "telephone_number": "972-446-8877",
            "fax_number": "972-446-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DEAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC4514",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.