Active NPI
Ronald G Sheppard, DC
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1902964331
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000647A
- Practice address
- 8208 Allisonville Rd.
Indianapolis, IN 46250 - Phone
- (317) 849-1222
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000647A | IN | Primary |
Addresses
Primary practice location
8208 Allisonville Rd.
Indianapolis, IN 46250
Mailing address
8208 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 849-1222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100218980A | Medicaid | IN | |
| 000000078910 | Other | IN | ANTHEM BCBS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1902964331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8208 ALLISONVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46250",
"telephone_number": "317-849-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8208 ALLISONVILLE RD.",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46250",
"telephone_number": "317-849-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "RONALD",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000647A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100218980A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000078910",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.