Shane Sheridan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27168 Issued in CA

Practice address

225 N Rancho Santa Fe Rd Ste 204
San Marcos, CA 92069-1276

Phone

(760) 744-0111

Fax

(760) 744-0540

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment NPD
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659448199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N RANCHO SANTA FE RD STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691276",
            "telephone_number": "760-744-0111",
            "fax_number": "760-744-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N RANCHO SANTA FE RD STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691276",
            "telephone_number": "760-744-0111",
            "fax_number": "760-744-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Shelton
• Shepard Dental Corporation
• Janeay Sheppard
• Rikki Sher
• Sheri'S Occupational Therapy Services
• Steven J. Sherman, M.D.
• Maxwell Ross Shermoen
• Chih-Wen Shi, MD
• Eric Shields, LVN
• Samantha Holbrook Shields, LMFT

• Chiropractor in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Chiropractor in California

• 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.
• 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.