DR. EDWIN III SHEPHERD (DC) – Chiropractor, NPI 1629073515

DR. EDWIN III SHEPHERD (DC) is a healthcare provider. based in Seattle, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH60178630 (WA). The NPI Number for DR. EDWIN III SHEPHERD (DC) is 1629073515

Main info

Male
Sole Proprietor
45 Years Of Experience
Name
DR. EDWIN III SHEPHERD (DC)
NPI
1629073515
Phone
(206) 691-1800
Address
1500 WESTLAKE AVE N STE 118
Enumeration Date
16 June 2005
Last Update Date
18 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2066911800
Graduation Year
1981 (45 years ago)
PAC ID
5698710614
Professional Enrollment ID
I20130812000851
Address ID
WA981093036SE1500XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

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Provider Addresses for DR. EDWIN III SHEPHERD (DC)

  • 118, Westlake Avenue North, South Lake Union, Belltown, Seattle, King County, Washington, 98109, United States

    SEATTLE, WA 981093036

    Phone: (206) 691-1800

    Fax: (206) 691-1810

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130812000851IChiropracticWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98109)

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Reviews

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Frequently asked questions

How do I look up DR. EDWIN III SHEPHERD (DC) by NPI?
Use NPI 1629073515 when you need to reference DR. EDWIN III SHEPHERD (DC) in forms, claims, or directories.
Is DR. EDWIN III SHEPHERD (DC) currently active in the NPI registry?
CMS-published data lists DR. EDWIN III SHEPHERD (DC) as an active registrant.
What field does DR. EDWIN III SHEPHERD (DC) work in?
You can think of DR. EDWIN III SHEPHERD (DC) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EDWIN III SHEPHERD (DC)?
The page summarizes Seattle, Washington for DR. EDWIN III SHEPHERD (DC); expand the address list for detail.
How can I contact DR. EDWIN III SHEPHERD (DC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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