SHEPHERD CHIROPRACTIC LLC
NPI 1871882464
Chiropractor in Bristol, CT

Active since April 04, 2011
665 TERRYVILLE AVE, 1ST FLOOR, BRISTOL, CT 06010(860) 589-1491 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shepherd Chiropractic Llc NPPES

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

SHEPHERD CHIROPRACTIC LLC (NPI 1871882464) is a healthcare organization registered as a chiropractor in Bristol, Connecticut and active in the NPI registry since April 2011. The organization lists Davia Hyacinth Shepherd, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1871882464
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHEPHERD CHIROPRACTIC LLC
Location Address665 TERRYVILLE AVE, 1ST FLOORBristol, CT 06010-4078
Mailing Address21 Upson PlCheshire, CT 06410-1116 · (203) 695-1489
Organization SubpartNo
Authorized OfficialDavia Hyacinth ShepherdC.e.o. · (203) 695-1489
Enumeration DateApril 4, 2011
Last NPPES UpdateMay 27, 2011
✔ NPI 1871882464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 001862
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.
665 TERRYVILLE AVE, Bristol, CT 06010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shepherd Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20110527000217Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shepherd Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1326358086
21 UPSON PL
Cheshire, CT 06410
(203) 695-1489
✔ Accepts Medicare8.8 mi

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 Shepherd Chiropractic LLC's NPI number?

The NPI number for Shepherd Chiropractic LLC is 1871882464. It was assigned to this organization in the NPPES registry on April 4, 2011.

Where is Shepherd Chiropractic LLC located?

Shepherd Chiropractic LLC is located at 665 Terryville Ave 1st Floor, Bristol, CT 06010. The listed phone number is (860) 589-1491.

What is Shepherd Chiropractic LLC's specialty?

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

Is Shepherd Chiropractic LLC enrolled in Medicare?

Yes. Shepherd Chiropractic LLC is registered in the Medicare PECOS enrollment system.

When is Shepherd Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shepherd Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Shepherd Chiropractic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shepherd Chiropractic LLC was last updated on May 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.