Active NPI
Jack Clifton Shropshire, DDS
- General Practice Dentistry
- Lubbock, TX
National Provider Identifier
1184857633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8720
- Practice address
- 1313 Broadway Ste 5
Lubbock, TX 79401-3209 - Phone
- (806) 765-2605
- Fax
- (806) 687-5957
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8720 | TX | Primary |
Addresses
Primary practice location
1313 Broadway Ste 5
Lubbock, TX 79401-3209
Mailing address
15 Arapaho Rd
Ransom Canyon, TX 79366-2216
Phone (806) 829-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8720 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1184857633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ARAPAHO RD",
"city": "RANSOM CANYON",
"state": "TX",
"postal_code": "793662216",
"telephone_number": "806-829-2550",
"fax_number": "806-687-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 BROADWAY STE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794013209",
"telephone_number": "806-765-2605",
"fax_number": "806-687-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROPSHIRE",
"first_name": "JACK",
"middle_name": "CLIFTON",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "8720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.