Richard a Sheldon DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2979 Issued in FL

Legal business name

RICHARD A SHELDON DC

Practice address

350D Racetrack Rd NW
Fort Walton Beach, FL 32547-1699

Phone

(850) 863-1920

Fax

(850) 864-5961

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Sheldon, D.C.

Title

Owner

Phone

(850) 863-1920

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Complete Wellness Chiropractic Doing business as

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1750695045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350D RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471699",
            "telephone_number": "850-863-1920",
            "fax_number": "850-864-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350D RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471699",
            "telephone_number": "850-863-1920",
            "fax_number": "850-864-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A SHELDON DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-863-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC FLORIDA",
            "identifier": "CH2979FL",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "88275",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Retallick
• Retreat at Fort Walton Beach Opco LLC
• Isaura Reyes de Jesus
• Sarah Jane Rhea, CRNA
• Cosimo A Ricciardi, D.P.M.
• Helena Sylvia Richard
• Kathleen Richards
• Kayla Brooke Richards, OTRL
• Douglas Winston Rigby, M.D.
• Charles Mark Riggenbach, M.D.

• Chiropractor in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.