John Chadwick Shepphird, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

6097 Issued in NV

Practice address

300 W a St
Fallon, NV 89406-2947

Phone

(775) 423-5213

NPI assigned

Jun 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fallon Family Dental Care

  • Dentist
  • Fallon, NV
  • NPI 1801223540
  NPD (past)

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1205120524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W A ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062947",
            "telephone_number": "775-423-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W A ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062947",
            "telephone_number": "775-423-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895093464",
            "country_code": "US",
            "telephone_number": "775-323-3575",
            "fax_number": "775-323-8233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPHIRD",
        "first_name": "JOHN",
        "middle_name": "CHADWICK",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison N Schuster, PA-C
• John RC Scott, M.D.
• Valerie Kate Segura
• Serenity Behavioral Health LLC
• Edward Shaw
• Sharon Ann Shirley, LPN
• Lea A. Shivley, ARNP-C
• Patricia Lynn Sicherman, RN
• Steven David Sicherman, B.S.
• Nathan Silva, DPT

• Dentist in Fallon, NV
• Providers in Fallon, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.