DR. CHARLES EDWARD SHIELDS (NPI# 1235288366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235288366 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDWARD SHIELDS |
| Credential | D.C. |
| Practice Address |
4140 Mother Lode Dr Suite 112 Shingle Springs CA 95682-8038 |
| Mailing Address |
2256 University Ave Sacramento CA 95825-7082 |
| Practice Telephone | 5306728059 |
| Practice Fax Number | 5306722111 |
| Mailing Telephone | 9169727875 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0108592 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP70630F | 05 | |
| CA | CHIROPRATIC LICENSE NUMBE | DC0108592 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720227721 | Charles L. Shields | Specialist | 1045 S Gum Springs Rd, Paducah, KY 42001-9299 | 2009-02-13 |
| 1972590776 | Charles Robert Shields | Specialist | 330 S 5th St, Suite 305, Enid, OK 73701-5825 | 2005-10-05 |
| 1114170057 | Charles H Shields | Counselor | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2008-10-23 |
| 1114085859 | Charles Y Shields | Optometrist | 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 | 2006-12-05 |
| 1679681167 | Charles Jeffrey Shields | Anesthesiology | 842 E Main St, Medford, OR 97504-7134 | 2006-08-26 |
| 1801813415 | Charles P Shields | Emergency Medicine | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2006-07-17 |
| Street Address |
4140 MOTHER LODE DR SUITE 112 |
| City | SHINGLE SPRINGS |
| State | CA |
| Zip Code | 95682-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457431660 | Rose E Hollow Horn Bear | Marriage & Family Therapist | 4140 Mother Lode Dr, 104, Shingle Springs, CA 95682-8038 | 2006-10-16 |
| 1497880637 | Beatriz Marlene Rubio Damian | Physician Assistant | 4140 Mother Lode Dr, Suite 112, Shingle Springs, CA 95682-8038 | 2007-02-21 |
| 1336299635 | Donald William Stoneburner | Dentist | 4140 Mother Lode Dr, Suite 112, Shingle Springs, CA 95682-8038 | 2007-01-11 |
| 1952450686 | Pheonix Ellis Sinclair | Dentist | 4140 Mother Lode Dr, Suite 112, Shingle Springs, CA 95682-8038 | 2007-01-10 |
| 1770661639 | Chris E. Andrews | Chiropractor | 4140 Mother Lode Dr, Suite 116, Shingle Springs, CA 95682-8038 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225681 | Breanna Canclini | Occupational Therapist | 2690 Hillcrest Dr, Cameron Park, CA 95682 | 2014-08-07 |
| 1497030852 | Bullards Dialysis LLC | Clinic/Center | 3311 Coach Ln Ste C, Cameron Park, CA 95682 | 2011-10-18 |
| 1417265786 | George Waite Weilepp | Orthopaedic Surgery | 4880 Maggie Court, Shingle Springs, CA 95682 | 2010-09-20 |
| 1831417757 | Maisha Michelle Correia | Psychiatry & Neurology | 3581 Palmer Dr Ste 202, Cameron Park, CA 95682 | 2010-05-17 |
| 1043466212 | Richard Joseph Sommerdyke | Dentist | 4200 Mother Lode Dr, Suite A, Shingle Springs, CA 95682 | 2008-08-07 |
| 1912120189 | Robert L Catron | Dentist | 3350 Coach Ln, Cameron Park, CA 95682 | 2007-04-10 |
| 1154457083 | Leslie Joan Hill-sokol | Marriage & Family Therapist | 3330 Heights Dr Ste 120, Cameron Park, CA 95682 | 2007-02-26 |
| 1114082765 | Torrey R Hammond | Dentist | 970 Camerado Drive, Ste 100, Cameron Park, CA 95682 | 2006-12-26 |
| 1659431062 | Petrice Foxworthy | Chiropractor | 3370 Country Club Dr., Cameron Park, CA 95682 | 2006-12-08 |
| 1346310570 | Lorin G Farr | Chiropractor | 3091 Alhambra Dr, Ste A, Cameron Park, CA 95682 | 2006-11-08 |
| Find all providers in zip 95682 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568694560 | Kirsten Elizabeth Perkins | Chiropractor | 2381 N Shingle Rd, Shingle Springs, CA 95682-9544 | 2009-08-10 |
| 1770661639 | Chris E. Andrews | Chiropractor | 4140 Mother Lode Dr, Suite 116, Shingle Springs, CA 95682-8038 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073615 | Tsu Yao Lam | Chiropractor | 9337 Steele St, Rosemead, CA 91770-1915 | 2020-11-05 |
| 1255932356 | Dr Demetria Casady Chiropractic PC | Chiropractor | 10801 Foothill Blvd Ste 104, Rancho Cucamonga, CA 91730-7695 | 2020-11-04 |
| 1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
| 1679173157 | Mvmt Matters, A Daniel J Saenz Chiropractic Corporation | Chiropractor | 7700 Folsom Auburn Rd Ste 135, Folsom, CA 95630-6637 | 2020-10-26 |
| 1295334829 | Anat Aronowicz | Chiropractor | 136 S Peck Dr Apt C, Beverly Hills, CA 90212-2461 | 2020-10-24 |
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1205435179 | Linet Sarkisyan | Chiropractor | 530 E Santa Anita Ave Apt 102, Burbank, CA 91501-2912 | 2020-10-22 |
| 1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
| 1598363079 | Zachary Allen Peters | Chiropractor | 2071 Antioch Ct Ste 203, Oakland, CA 94611-2955 | 2020-10-15 |
| 1558969238 | Fernando A Titus | Chiropractor | 233 6th St, Manhattan Beach, CA 90266-5735 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | SHINGLE SPRINGS |
| Zip Code | 95682 |
Please comment or provide details below to improve the information on DR. CHARLES EDWARD SHIELDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.