DR. SHANE SHERIDAN D.C.
NPI 1659448199
Chiropractor in San Marcos, CA

Active since November 29, 2006
225 N RANCHO SANTA FE RD STE 204, SAN MARCOS, CA 92069(760) 744-0111(760) 744-0540 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shane Sheridan D.c. NPPES

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

DR. SHANE SHERIDAN D.C. (NPI 1659448199) is an individual chiropractor in San Marcos, California, licensed in California (DC27168) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1659448199
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE SHERIDANCredential: D.C.
Location Address225 N RANCHO SANTA FE RD STE 204San Marcos, CA 92069-1276
Mailing Address225 N Rancho Santa Fe Rd Ste 204San Marcos, CA 92069-1276 · (760) 744-0111 · Fax (760) 744-0540
Fax(760) 744-0540
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1659448199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC27168
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.
225 N RANCHO SANTA FE RD STE 204, San Marcos, CA 92069

Other Identifiers 2

Medicare UPINU94697CA
Medicare ID-Type UnspecifiedDC27168CA · Medicare Id #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Sheridan D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group

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

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 Shane Sheridan's NPI number?

The NPI number for Shane Sheridan is 1659448199. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Shane Sheridan located?

Shane Sheridan practices at 225 N Rancho Santa Fe Rd Ste 204, San Marcos, CA 92069. The listed phone number is (760) 744-0111.

What is Shane Sheridan's specialty?

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

Is Shane Sheridan enrolled in Medicare?

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

Which organization bills Medicare for Shane Sheridan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Sheridan reassigns Medicare benefits to Neighborhood Healthcare (Escondido, CA). 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 Shane Sheridan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Sheridan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.