Active NPI
Ian Douglas Sheppard, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1932450228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5034
- Practice address
- 243 SW Scalehouse Loop Ste 1a
Bend, OR 97702-1278 - Phone
- (541) 213-2190
- Fax
- (541) 213-2649
- NPI assigned
- Sep 26, 2012
- Last updated
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 5034 | OR | Primary |
Addresses
Primary practice location
243 SW Scalehouse Loop Ste 1a
Bend, OR 97702-1278
Mailing address
243 SW Scalehouse Loop Ste 1a
Bend, OR 97702-1278
Phone (541) 213-2190
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5034 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheppard Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
243 SW Scalehouse Loop
Ste 1A
Bend, OR 97702
Phone (541) 213-2190
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1932450228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 SW SCALEHOUSE LOOP STE 1A",
"city": "BEND",
"state": "OR",
"postal_code": "977021278",
"telephone_number": "541-213-2190",
"fax_number": "541-213-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 SW SCALEHOUSE LOOP STE 1A",
"city": "BEND",
"state": "OR",
"postal_code": "977021278",
"telephone_number": "541-213-2190",
"fax_number": "541-213-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "IAN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.