Individual provider Active NPI

Matthew Sheppard, D.C.

  • Chiropractor
  • Cordova, TN
National Provider Identifier
1750824769
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2977 Issued in TN
Practice address
8132 Cordova Rd
Suite 102
Cordova, TN 38016-6005
Phone
(901) 751-0939
Fax
(901) 751-0332
NPI assigned
Nov 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2977 TN Primary

Addresses

Primary practice location

8132 Cordova Rd
Suite 102
Cordova, TN 38016-6005

Mailing address

8132 Cordova Rd
Suite 102
Cordova, TN 38016-6005
Phone (901) 751-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2977TNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health Care Associates, P.C. PastSince Aug 11, 2009 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1750824769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166005",
            "telephone_number": "901-751-0939",
            "fax_number": "901-751-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "address_2": "SUITE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166005",
            "telephone_number": "901-751-0939",
            "fax_number": "901-751-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.