Dr. Robert Shepherd, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2986 Issued in MN

Legal business name

DR. ROBERT SHEPHERD, PA

Practice address

2415 Emerson Ave S
Minneapolis, MN 55405-2602

Phone

(612) 872-9133

Fax

(612) 872-0342

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Shepherd, DCNPI 1366544587

Title

Owner

Phone

(612) 872-9133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Robert C Shepherd, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1366544587
  Medicare reassignment NPD Authorized official
• Linda C Giacomo, PH.D.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1811106065
  NPD (past)

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1487838603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052602",
            "telephone_number": "612-872-9133",
            "fax_number": "612-872-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052602",
            "telephone_number": "612-872-9133",
            "fax_number": "612-872-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT SHEPHERD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-872-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Janice Nadeau, PA
• Dr. Katherine Kegan, LTD
• Dr. Kimberly Berkus, P.C.
• Dr. M. Warwick, LLC
• Dr. Margaret M Houston PLLC
• Samantha K Draeger, RN
• Rachael Drago, MSW, LICSW
• Susan S Dragsten
• Sarah Jennifer Dragswiek, LICSW
• Estella Draheim, RN

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.