Individual provider Active NPI

David Allen Sheppard, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1124008560
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP118498 Issued in TX
Practice address
25 Highland Park VLG
Suite 100765
Dallas, TX 75205-2789
Phone
(214) 707-0695
Fax
(214) 572-7392
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 9178159 FL
Certified Registered Nurse Anesthetist 367500000X 0024127218 VA
Certified Registered Nurse Anesthetist 367500000X AP118498 TX Primary

Addresses

Primary practice location

25 Highland Park VLG
Suite 100765
Dallas, TX 75205-2789

Mailing address

4901 Ravensthorpe Dr
Parker, TX 75002-5547
Phone (972) 442-9743

Other identifiers 3

IdentifierTypeStateIssuer
G3089OtherFLFL BLUECROSS & BLUESHIELD
00920422AMedicaidGA
304001600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000430 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840198131 Reassigns benefits to 3 organizations
Practice locations: Trophy Club, TX; Southlake, TX; Plano, TX; Ennis, TX; Frisco, TX; Dallas, TX; Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noble Anesthesia Partners PLLCGroup PAC ID 9234303165, 44 clinicians

Practice addresses (Care Compare)

6121 N Hwy 161
Suite 100
Irving, TX 75038-2270
Phone (972) 777-0310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 9178159FLMDCertified Registered Nurse Anesthetist
AP118498TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Anesthesia Partners, PLLC CurrentSince Feb 21, 2025 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Jan 1, 2017 Accepting new patients
North Florida Anesthesia Consultants, Inc. Past Accepting new patients
Peter Baek MD PA Past Accepting new patients
Julius Zsohar III MD PA Past Accepting new patients

Locations (25 of 36)

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

411 Central Park Dr
Arlington, TX 76014
Phone (817) 784-8300

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

2010 W Katherine P Raines Rd
Ste 100
Cleburne, TX 76033
Phone (817) 645-0811

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

9301 N Central Expy
Ste 100
Dallas, TX 75231
Phone (214) 365-8144

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

7200 Oakmont Blvd
Fort Worth, TX 76132
Phone (817) 732-3300

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

601 Clara Barton Blvd
Ste 350
Garland, TX 75042
Phone (972) 426-9900

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

6121 N State Highway 161
Ste 100
Irving, TX 75038
Phone (478) 330-5747

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

252 Matlock Rd
Fl 4
Mansfield, TX 76063
Phone (817) 242-3600

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

8080 State Highway 121
Ste 100
McKinney, TX 75070
Phone (214) 547-2700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1124008560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 RAVENSTHORPE DR",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750025547",
            "telephone_number": "972-442-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VLG",
            "address_2": "SUITE 100765",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052789",
            "telephone_number": "214-707-0695",
            "fax_number": "214-572-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9178159",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024127218",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP118498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUECROSS & BLUESHIELD",
            "identifier": "G3089",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920422A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304001600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.