Active NPI
Colin Shepherd, D.C.
- Chiropractor
- Mt Pleasant, IA
National Provider Identifier
1952771719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 079103
- Practice address
- 107 N Main St
Mt Pleasant, IA 52641-2027 - Phone
- (319) 201-1900
- NPI assigned
- Oct 5, 2015
- 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 | 079103 | IA | Primary |
Addresses
Primary practice location
107 N Main St
Mt Pleasant, IA 52641-2027
Mailing address
107 N Main St
Mt Pleasant, IA 52641-2027
Phone (319) 201-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
107 N Main St
Main Street Chiro
Mt Pleasant, IA 52641-2027
Phone (319) 201-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Chiro, LLC | Chiropractor | Current | Accepting new patients |
| My Chiro, L.L.C. | Chiropractor | Current | Accepting new patients |
Locations
3221 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 294-0000
107 N Main St
Mt Pleasant, IA 52641
Phone (319) 201-1900
Organizations & group practices 2
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.
-
- Chiropractor
- Mt Pleasant, IA
- NPI 1598498479
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1366717894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1952771719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N MAIN ST",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "526412027",
"telephone_number": "319-201-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N MAIN ST",
"city": "MT PLEASANT",
"state": "IA",
"postal_code": "526412027",
"telephone_number": "319-201-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "COLIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-05",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "079103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.