J Scott Shepherd DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

51451 Issued in CA

Legal business name

J SCOTT SHEPHERD DMD INC

Practice address

2150 E Tahquitz Canyon Way
Suite #2
Palm Springs, CA 92262-7045

Phone

(760) 416-1003

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Scott Shepherd, DMD

Title

Owner

Phone

(760) 808-1554

Specialties & licenses 1

Addresses

Other names 1

• Palm Springs Dental Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Lebard, DDS

  • General Practice Dentistry
  • Palm Desert, CA
  • NPI 1144694035
  NPD (past)

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1124426788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE #2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-416-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE #2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-416-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SCOTT SHEPHERD DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-808-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "51451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Springs Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Bruce Irwin, PHARM. D.
• Isabella Piedra Professional Dental Corporation
• Robert Harold Ischinger
• Itza Transport LLC
• Oyinkansola Iyaniwura
• Jessie Raynae Jackson, RADT-I
• Judy M Jackson, M.D.
• Marlene Esther Jackson, NP
• Scott Jacobsen
• Jaime Alberto Jaime

• Dental Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.