Active NPI
Dan Sheppard, D.C.
- Occupational Medicine Physician
- Newport Beach, CA
National Provider Identifier
1902064041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- DC27861
- Practice address
- 1133 Camelback St
Box 8316
Newport Beach, CA 92658-1200 - Phone
- (949) 387-0456
- NPI assigned
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | DC27861 | CA | Primary |
Addresses
Primary practice location
1133 Camelback St
Box 8316
Newport Beach, CA 92658-1200
Mailing address
PO Box 8316
Newport Beach, CA 92658-8316
Phone (949) 387-0456
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27861 | CA | MD | Occupational Medicine Physician |
| 27861 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1902064041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8316",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926588316",
"telephone_number": "949-387-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 CAMELBACK ST",
"address_2": "BOX 8316",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926581200",
"telephone_number": "949-387-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "DAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "DC27861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.