Individual provider Active NPI

Sheridan Scott Renshaw, D.C.

  • Chiropractor
  • Winfield, KS
National Provider Identifier
1952399735
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104795 Issued in MO
Practice address
222 E 9TH Ave
Winfield, KS 67156-2818
Phone
(620) 221-2000
Fax
(620) 221-2003
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104795 MO Primary

Addresses

Primary practice location

222 E 9TH Ave
Winfield, KS 67156-2818

Mailing address

222 E 9TH Ave
Winfield, KS 67156-2818
Phone (620) 221-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180705002407 OK Practitioner - Chiropractic 1850337064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Coonrod Ave
Mannford, OK 74044-3437
Phone (918) 865-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4281OKMDProfessional Counselor
0104795MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Awesome Chiropractic Care Chiropractor CurrentSince May 10, 2018 Accepting new patients
Mercer Health Inc Chiropractor PastSince Apr 1, 2005 Accepting new patients
Advanced PT 47TH Street LLC PastSince Mar 20, 2017 Accepting new patients

Organizations & group practices 3

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952399735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562818",
            "telephone_number": "620-221-2000",
            "fax_number": "620-221-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 9TH AVE",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671562818",
            "telephone_number": "620-221-2000",
            "fax_number": "620-221-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSHAW",
        "first_name": "SHERIDAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "0104795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.