Sharnn Aarin Shepheard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011674 Issued in GA

Practice address

1090 Northchase Pkwy SE
Suite 290
Marietta, GA 30067-6405

Phone

(678) 904-5665

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1083713747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493252",
            "telephone_number": "877-442-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NORTHCHASE PKWY SE",
            "address_2": "SUITE 290",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676405",
            "telephone_number": "678-904-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHEARD",
        "first_name": "SHARNN",
        "middle_name": "AARIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011674",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100706",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Sheldon, PA-C
• Allyson Harten Shelley, PT
• Abigail Shelly, RBT
• Lisa Marie Shepard
• Shepards of Light Healthcare Inc.
• Cathleen C Shepherd
• Kasey Shepp, MD
• Melissa Sherfield, MAMFT
• Leslie Sitkoff Sheridan, LPC, CAADC, NCC
• Jerald Jacob Sherman, M.D.

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.