NPIMap

Organization Active NPI

David M. Shepherd MD PC

  • Ophthalmology Physician
  • Novi, MI
National Provider Identifier
1184816092
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32402 Issued in MI
Legal business name
DAVID M. SHEPHERD MD PC
Practice address
41935 W 12 Mile Rd
Suite 103
Novi, MI 48377-3111
Phone
(248) 347-8030
Fax
(248) 305-6694
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Dr. David Martin Shepherd, MD
Title
President
Phone
(248) 347-8030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 32402 MI Primary
Clinic/Center 261Q00000X 32402 MI

Addresses

Primary practice location

41935 W 12 Mile Rd
Suite 103
Novi, MI 48377-3111

Mailing address

41935 W 12 Mile Rd
Suite 103
Novi, MI 48377-3111
Phone (248) 347-8030

Other identifiers 1

IdentifierTypeStateIssuer
DE3726OtherMIMEDICARE RAILROAD

Other names 1

  • Style-Eyes Optical Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1184816092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41935 W 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773111",
            "telephone_number": "248-347-8030",
            "fax_number": "248-305-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41935 W 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773111",
            "telephone_number": "248-347-8030",
            "fax_number": "248-305-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. SHEPHERD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-347-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "32402",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "32402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE3726",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Style-Eyes Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.