Active NPI
William Shepherd
- Multi-Specialty Clinic/Center
- Houston, TX
National Provider Identifier
1770124042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Practice address
- 16800 Imperial Valley Dr
Houston, TX 77060-3159 - Phone
- (713) 904-4831
- NPI assigned
- Oct 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
16800 Imperial Valley Dr
Houston, TX 77060-3159
Mailing address
16800 Imperial Valley Dr
Houston, TX 77060-3159
Phone (713) 904-4831
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.cciclinic,com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1770124042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 IMPERIAL VALLEY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603159",
"telephone_number": "713-904-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16800 IMPERIAL VALLEY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603159",
"telephone_number": "713-904-4831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.cciclinic,com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "16800 Imperial Valley Dr",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770603159",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.