DR. CHARLES TYLER SHEPHERD (NPI# 1851751028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851751028 |
| Entity Type | Individual |
| Full Name | DR. CHARLES TYLER SHEPHERD |
| Credential | D.C. |
| Practice Address |
8925 W Maple St Ste 12 Wichita KS 67209-1462 |
| Practice Telephone | 3165193564 |
| Mailing Telephone | 3165193564 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01-05750 | KS | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992141345 | Charles Shepherd | Physical Therapist | 3310 Professional Park Ste 102, Owensboro, KY 42303-4551 | 2013-05-13 |
| 1548611353 | Charles Shepherd | Registered Nurse | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2016-06-23 |
| Street Address |
8925 W MAPLE ST STE 12 |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| 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 |
|---|---|---|---|---|
| 1922652544 | Savannah Howell | Chiropractor | 2755 N Maize Rd Ste 107, Wichita, KS 67205-7327 | 2019-07-31 |
| 1508418914 | Ryan Grenier | Chiropractor | 3017 N Cypress St Ste B, Wichita, KS 67226-4026 | 2019-07-15 |
| 1316503691 | Jessica Ann Marie Gault | Chiropractor | 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 | 2019-05-13 |
| 1972072064 | Boneworkz, LLC | Chiropractor | 211 S Tyler Rd, Wichita, KS 67209-1433 | 2018-11-19 |
| 1396248555 | Anthony Barta | Chiropractor | 8440 E 29th St N Ste 100, Wichita, KS 67226-3407 | 2018-03-14 |
| 1841790649 | Wichita Chiropractic and Physical Therapy Clinic Inc | Chiropractor | 125 S West St Ste 117, Wichita, KS 67213-2114 | 2018-02-19 |
| 1104334325 | Ryan M Simpson | Chiropractor | 8526 W 13th St N Ste 170, Wichita, KS 67212-2990 | 2018-01-22 |
| 1740796218 | Gawith Chiropractic LLC | Chiropractor | 2020 N Webb Rd Ste 102, Wichita, KS 67206-3408 | 2017-12-20 |
| 1326557075 | Stanley Chiropractic LLC | Chiropractor | 555 N Mclean Blvd Ste 302, Wichita, KS 67203-5815 | 2017-09-26 |
| 1932637154 | Dustin R Hague | Chiropractor | 2604 W 9th St N Ste 100, Wichita, KS 67203-4792 | 2017-06-01 |
| Find all providers in WICHITA | ||||
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| 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.