Dean Scott Shepherd, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2077 Issued in WI

Practice address

2343 W Silvernail Rd
Pewaukee, WI 53072

Phone

(262) 548-9000

Fax

(262) 548-8155

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shepherd Chiropractic Clinic S.C.Group PAC ID 7911080205, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shepherd Chiropractic Clinic S.C.

  • Clinic/Center
  • Pewaukee, WI
  • NPI 1295918555
  Medicare reassignment Care Compare group Authorized official
• Heffernan Chiropractic Clinic SC

  • Chiropractor
  • Waukesha, WI
  • NPI 1720120868
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1992866305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 W SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-548-9000",
            "fax_number": "262-548-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 W SILVERNAIL RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-548-9000",
            "fax_number": "262-548-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "DEAN",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemangini Shah, PHARMD
• Payal Shah, O.D.
• James E Shander, MD
• Anjali Jain Sharma, M.D.
• Shepherd Chiropractic Clinic S.C.
• Melissa Shera, DC
• Abigail Lynn Sherer
• Gary Shields, DPT
• Shoptikal LLC
• Zachary Shriver, OD

• Nutrition Chiropractor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Nutrition Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.