Active NPI
Andrew Clark Shepherd, D.C.
- Chiropractor
- Richmond, VA
National Provider Identifier
1962955245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557364
- Practice address
- 3 S 12TH St
Richmond, VA 23219-4096 - Phone
- (804) 726-4760
- NPI assigned
- Aug 3, 2016
- 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 | 0104557364 | VA | Primary |
Addresses
Primary practice location
3 S 12TH St
Richmond, VA 23219-4096
Mailing address
11187 Cauthorne Rd
Glen Allen, VA 23059-1648
Phone (757) 810-8360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 S 12TH St
FL 3
Richmond, VA 23219-4096
Phone (804) 726-4760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Chiropractic | Chiropractor | Past | Accepting new patients |
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
- Richmond, VA
- NPI 1407371495
-
- Chiropractor
- Richmond, VA
- NPI 1467602789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1962955245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11187 CAUTHORNE RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230591648",
"telephone_number": "757-810-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 S 12TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232194096",
"telephone_number": "804-726-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "ANDREW",
"middle_name": "CLARK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.