Individual provider Active NPI

Scott Thomas Sheriff, D.C.

  • Chiropractor
  • Racine, WI
National Provider Identifier
1841462215
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4352-012 Issued in WI
Practice address
5439 Durand Ave
Suite 200
Racine, WI 53406-5058
Phone
(262) 554-6869
Fax
(262) 554-6883
NPI assigned
Mar 26, 2008
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4352-012 WI Primary

Addresses

Primary practice location

5439 Durand Ave
Suite 200
Racine, WI 53406-5058

Mailing address

5439 Durand Ave
Suite 200
Racine, WI 53406-5058
Phone (262) 554-6869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000463 WI Practitioner - Chiropractic 5395814909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5439 Durand Ave
Suite 200
Mount Pleasant, WI 53406-5058
Phone (262) 554-6869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4352-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheriff Chiropractic, LLC CurrentSince Mar 26, 2008 Accepting new patients
Tiferet Family Chiropractic, S.C. Chiropractor PastSince Mar 26, 2008 Accepting new patients

Locations

5439 Durand Ave
Ste 200
Mount Pleasant, WI 53406
Phone (262) 554-6869

Organizations & group practices 2

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1841462215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE",
            "address_2": "SUITE 200",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-554-6869",
            "fax_number": "262-554-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE",
            "address_2": "SUITE 200",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-554-6869",
            "fax_number": "262-554-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIFF",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4352-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.