Shepard Chiropractic and Wellness P.L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3962 Issued in OK

Legal business name

SHEPARD CHIROPRACTIC AND WELLNESS P.L.L.C.

Practice address

1906 East 2ND St
Edmond, OK 73034

Phone

(405) 348-0090

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Scott Shepard, D.C.NPI 1740518901

Title

Owner

Phone

(405) 348-0090

Specialties & licenses 1

Addresses

Other names 1

• Shepard Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Scott Shepard, D.C

  • Chiropractor
  • Edmond, OK
  • NPI 1740518901
  Medicare reassignment NPD Authorized official
• Joseph F Binkley Sr., DC

  • Chiropractor
  • Edmond, OK
  • NPI 1598823759
  NPD (past)
• Elizabeth Anne Waner Dorn, DC

  • Chiropractor
  • Edmond, OK
  • NPI 1578630521
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1942514997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 E 2ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346350",
            "telephone_number": "405-348-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 EAST 2ND ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-348-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD CHIROPRACTIC AND WELLNESS P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-348-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepard Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew P Shelton
• Barbara Jean Shelton, M.ED
• Jeffrey Wayne Shelton, M.D.
• Kyle William Shelton
• Laci Shelton
• Matthew Scott Shepard, D.C
• Dakota Shepherd, PTA
• Jason Dale Shepherd
• Katherine Luthey Shepherd, DO
• Cynthia Ann Sherbon, LMFT LADC

• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.