William Ocell Shumpert Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D6457 Issued in FL

Practice address

2885 Player CT
Titusville, FL 32780-4867

Phone

(954) 560-2094

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• William Ocell Ocell Shumpert Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1043355035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 PLAYER CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804867",
            "telephone_number": "954-560-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 PLAYER CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804867",
            "telephone_number": "954-560-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMPERT",
        "first_name": "WILLIAM",
        "middle_name": "OCELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "D6457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM OCELL",
            "last_name": "SHUMPERT",
            "middle_name": "OCELL",
            "credential": "DENTIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shree Anitha Prasanna PA
• Shree Anitha Prasanna PA
• Shreeji Medical PA
• Deveshkumar Shukla, DDS
• David Shumate, RMHCI
• Shyam Verma MD PA
• Siddhi Anitha Prasanna
• Siddhi Anitha Prasanna PA
• Khalid A Siddiqui, M.D.
• Jennifer Simmons, LCSW

• Dentist in Titusville, FL
• Providers in Titusville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.