Individual provider Active NPI

Scott B Shephard X, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1851570675
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2297 Issued in OR
Practice address
2323 NW Flanders St
Portland, OR 97210-3409
Phone
(503) 223-3826
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 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 27 2297 OR Primary

Addresses

Primary practice location

2323 NW Flanders St
Portland, OR 97210-3409

Mailing address

2323 NW Flanders St
Portland, OR 97210-3409
Phone (503) 223-3826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000837 OR Practitioner - Chiropractic 3779654454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Shephard Clinic of the Chiropractic ArtsGroup PAC ID 5890784045, 2 clinicians

Practice addresses (Care Compare)

2323 NW Flanders St
Portland, OR 97210-3764
Phone (503) 223-3826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2297ORMDClinical Social Worker
27 2297ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shephard Clinic of the Chiropractic Arts CurrentSince Dec 1, 1986 Accepting new patients

Locations

2323 NW Flanders St
Portland, OR 97210
Phone (503) 223-3826

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1851570675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103409",
            "telephone_number": "503-223-3826",
            "fax_number": "503-223-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103409",
            "telephone_number": "503-223-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "SCOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "X",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.