Matthew Scott Shepard, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3962 Issued in OK

Practice address

912 NW 172ND St
Edmond, OK 73012-6708

Phone

(405) 317-5540

NPI assigned

Nov 30, 2009

Sex

Male

Sole proprietor

Yes

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 OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Shepard Chiropractic and Wellness P.L.L.C.

  • Chiropractor
  • Edmond, OK
  • NPI 1942514997
  Medicare reassignment NPD Authorized official
• Waner Chiropractic Health Center

  • Chiropractor
  • Edmond, OK
  • NPI 1649465691
  NPD (past)

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1740518901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NW 172ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126708",
            "telephone_number": "405-317-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NW 172ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126708",
            "telephone_number": "405-317-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Shelton, M.ED
• Jeffrey Wayne Shelton, M.D.
• Kyle William Shelton
• Laci Shelton
• Shepard Chiropractic and Wellness P.L.L.C.
• Dakota Shepherd, PTA
• Jason Dale Shepherd
• Katherine Luthey Shepherd, DO
• Cynthia Ann Sherbon, LMFT LADC
• Sheridan Anesthesia Services of Oklahoma, Inc

• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.