Individual provider Active NPI

Wes E Sheader, D.C., D.I.C.C.P.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1922009406
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4393 Issued in CO
Practice address
2532 Patterson Rd Ste 15
Grand Junction, CO 81505-1098
Phone
(970) 254-2954
Fax
(970) 254-2958
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4393 CO Primary

Addresses

Primary practice location

2532 Patterson Rd Ste 15
Grand Junction, CO 81505-1098

Mailing address

2532 Patterson Rd Ste 15
Grand Junction, CO 81505-1098
Phone (970) 254-2954

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

LicenseStateTypeSpecialty
4393COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheader Chiropractic LLC Chiropractor PastSince Jul 21, 2004 Accepting new patients

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1922009406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 PATTERSON RD STE 15",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051098",
            "telephone_number": "970-254-2954",
            "fax_number": "970-254-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 PATTERSON RD STE 15",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051098",
            "telephone_number": "970-254-2954",
            "fax_number": "970-254-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEADER",
        "first_name": "WES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C., D.I.C.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.