Individual provider Active NPI

Shep Adam Phillips, DC

  • Chiropractor
  • Louisville, CO
National Provider Identifier
1831278431
Registry record updated Dec 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
458 Issued in AK
Practice address
1044 S 88TH St
Suite 100
Louisville, CO 80027-9417
Phone
(303) 665-9549
Fax
(303) 665-9546
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 458 AK Primary
Chiropractor 111N00000X 6269 CO

Addresses

Primary practice location

1044 S 88TH St
Suite 100
Louisville, CO 80027-9417

Mailing address

1044 S 88TH St
Suite 100
Louisville, CO 80027-9417
Phone (303) 665-9549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000842 NJ Practitioner - Chiropractic 5294820155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Pantano and Rossi Chiropractic Center PAGroup PAC ID 9537206966, 7 clinicians

Practice addresses (Care Compare)

1701 New Rd
Northfield, NJ 08225-1197
Phone (609) 272-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
458AKMDDental Hygienist
6269COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medicine of South Jersey LLC Chiropractor CurrentSince Feb 15, 2024 Accepting new patients
Active Health Marlton LLC Chiropractor CurrentSince Feb 15, 2024 Accepting new patients
Golden Chiropractic Spa Chiropractor Past Accepting new patients

Locations

1317 Route 73
Ste 101
Mount Laurel, NJ 08054
Phone (609) 886-8039

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

Organizations & group practices 4

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229731200000",
    "number": "1831278431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279417",
            "telephone_number": "303-665-9549",
            "fax_number": "303-665-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279417",
            "telephone_number": "303-665-9549",
            "fax_number": "303-665-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHEP",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "458",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; 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.