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THEO SHERIDAN DC
NPI 1215791439
Chiropractor in Shawnee, KS

Active since February 08, 2024
22120 MIDLAND DR STE 1, SHAWNEE, KS 66226(913) 745-4064(913) 745-4352 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Dec 23, 2025, Oct 8, 2025 and 2 more (5 updates tracked since 2024).

About Theo Sheridan Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEO SHERIDAN DC (NPI 1215791439) is an individual chiropractor in Shawnee, Kansas, licensed in Kansas (10-06303) and active in the NPI registry since February 2024. He maintains 2 additional practice locations and is a graduate of Cleveland Chiropractic College - Kansas City (2023).

NPPES Registry Identity

NPI1215791439
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTHEO SHERIDANCredential: DC
Location Address22120 MIDLAND DR STE 1Shawnee, KS 66226-3554
Mailing Address22120 Midland Dr Ste 1Shawnee, KS 66226-3554 · (913) 745-4064 · Fax (913) 745-4352
Phone(913) 745-4064
Fax(913) 745-4352
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2023
Enumeration DateFebruary 8, 2024
Last NPPES UpdateApril 29, 20265 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1215791439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in KS · 10-06303
Definition
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.
22120 MIDLAND DR STE 1, Shawnee, KS 66226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11800 Wyandotte St Ste 201Kansas City, MO 64108-1953 · Phone (816) 605-1644 · Fax (913) 745-4352
Location 22113 E Kansas City RdOlathe, KS 66061-7050 · Phone (913) 791-0144

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theo Sheridan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517303860
PECOS Enrollment IDI20250124000976

Medicare Billing Reassignment

Medicare enrollment records show Theo Sheridan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fit Muscle & Joint Clinic LLC
24 mi
Rehabilitation
401 NW MURRAY RD
Lees Summit, MO 64081
  • Reassigned Medicare billing, Missouri enrollment
  • 27 clinicians in this Medicare group
NPI 1801350921 (816) 944-4244

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIT MUSCLE & JOINT CLINIC LLC
Chiropractor (Rehabilitation)
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
DR. AARON MARTIN
Physical Therapist
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
DR. CHAD A BARNES DC
Chiropractor (Rehabilitation)
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
WILLY KIMANI DPT
Physical Therapist
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
SAMANTHA K NASH OT
Occupational Therapist
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
TYLER LAPLANTE DC
Chiropractor (Independent Medical Examiner)
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
ADAM HUTCHISON DPT
Physical Therapist
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064
JAMES B KASE DPT
Physical Therapist
22120 MIDLAND DR STE 1
SHAWNEE, KS 66226
Johnson County (913) 745-4064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theo Sheridan's NPI number?

The NPI number for Theo Sheridan is 1215791439. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Theo Sheridan located?

Theo Sheridan practices at 22120 Midland Dr Ste 1, Shawnee, KS 66226. The listed phone number is (913) 745-4064.

What is Theo Sheridan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Theo Sheridan enrolled in Medicare?

Yes. Theo Sheridan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theo Sheridan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theo Sheridan reassigns Medicare benefits to Fit Muscle & Joint Clinic LLC (Lees Summit, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theo Sheridan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theo Sheridan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 3 other insurers list Theo Sheridan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theo Sheridan was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.