Shepherd Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001862 Issued in CT

Legal business name

SHEPHERD CHIROPRACTIC LLC

Practice address

665 Terryville Ave
1St Floor
Bristol, CT 06010-4078

Phone

(860) 589-1491

NPI assigned

Apr 4, 2011

Last updated

May 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Davia Hyacinth Shepherd, D.C.NPI 1326358086

Title

C.E.O.

Phone

(203) 695-1489

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davia Hyacinth Shepherd, D.C.

  • Chiropractor
  • Cheshire, CT
  • NPI 1326358086
  Medicare reassignment NPD Authorized official
• Angelica Marie Macaraeg, LMT

  • Massage Therapist
  • Bristol, CT
  • NPI 1639670003
  NPD (past)
• Richard Saporito, DC

  • Orthopedic Chiropractor
  • Bristol, CT
  • NPI 1104877653
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1871882464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPSON PL",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101116",
            "telephone_number": "203-695-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 TERRYVILLE AVE",
            "address_2": "1ST FLOOR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104078",
            "telephone_number": "860-589-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVIA",
        "authorized_official_middle_name": "HYACINTH",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "203-695-1489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Shaw, FNP-BC
• Shaws Supermarkets Inc
• Holly June Sheldon, LCSW
• Jeffrey T Shelton, M.D.
• Shepard Meadows Therapeutic Riding Center, Inc.
• Sheriden Woods Health Care Center Inc (Sheriden Woods Health Care Center)
• Sheriden Woods Health Care Center, Inc. (Sheriden Woods Health Care Center)
• Kenitra Lachelle Sherman, APRN
• Radhee Sheth
• Steven Harold Shmurak, PH.D.

• Chiropractor in Bristol, CT
• Providers in Bristol, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.