Individual provider Active NPI

David Scott Shampain, D.D.S.

  • Dentist
  • Paso Robles, CA
National Provider Identifier
1164556288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35939 Issued in CA
Practice address
1920 Creston Rd
Suite B
Paso Robles, CA 93446-4455
Phone
(805) 239-2146
Fax
(805) 239-9097
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35939 CA Primary

Addresses

Primary practice location

1920 Creston Rd
Suite B
Paso Robles, CA 93446-4455

Mailing address

1920 Creston Rd
Suite B
Paso Robles, CA 93446-4455
Phone (805) 239-2146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821000939 CA Order and Referring Only - DentistPractitioner - Dentist 3173775970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35939CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulbright Dental Group, PC PastSince Dec 19, 2015 Accepting new patients
Turton Dental Group, Inc. Dentist PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164556288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CRESTON RD",
            "address_2": "SUITE B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464455",
            "telephone_number": "805-239-2146",
            "fax_number": "805-239-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CRESTON RD",
            "address_2": "SUITE B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464455",
            "telephone_number": "805-239-2146",
            "fax_number": "805-239-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMPAIN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.