Individual provider Active NPI

Joseph A Sheppard, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1750473427
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1821 Issued in OH
Practice address
3878 McMann Rd
Cincinnati, OH 45245-2347
Phone
(513) 753-5437
Fax
(513) 753-7517
NPI assigned
Sep 29, 2006
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1821 OH Primary

Addresses

Primary practice location

3878 McMann Rd
Cincinnati, OH 45245-2347

Mailing address

3878 McMann Rd
Cincinnati, OH 45245-2347
Phone (513) 753-5437

Other identifiers 1

IdentifierTypeStateIssuer
0204906MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000393 OH Practitioner - Chiropractic 1557487378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3878 McMann Rd
Cincinnati, OH 45245-2347
Phone (513) 753-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1821OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Chiropractic Inc. Chiropractor CurrentSince Oct 1, 1993 Accepting new patients

Locations

3878 McMann Rd
Cincinnati, OH 45245
Phone (513) 753-5437

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1750473427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 MCMANN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452347",
            "telephone_number": "513-753-5437",
            "fax_number": "513-753-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 MCMANN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452347",
            "telephone_number": "513-753-5437",
            "fax_number": "513-753-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.