Kenneth Marvin Sheppard Jr., HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

80449 Issued in TX

Practice address

1800 N Travis St
Suite D
Sherman, TX 75092-3702

Phone

(903) 868-2650

Fax

(903) 870-0229

NPI assigned

Sep 9, 2011

Last updated

Jun 12, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hearcare, Inc

  • Audiologist
  • Sherman, TX
  • NPI 1194913061
  NPD (past)
• Hearcare, Inc.

  • Hearing Aid Equipment
  • Sherman, TX
  • NPI 1982965497
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1245512888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N TRAVIS ST",
            "address_2": "SUITE D",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923702",
            "telephone_number": "903-868-2650",
            "fax_number": "903-870-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N TRAVIS ST",
            "address_2": "SUITE D",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923702",
            "telephone_number": "903-868-2650",
            "fax_number": "903-870-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "KENNETH",
        "middle_name": "MARVIN",
        "name_suffix": "Jr.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Laura Shehan, PA
• Ahmed Sheikh, DO
• Derricka Shelly
• Wendy L Shelton, LPC
• Jill Ann Sheppard, BS, AUDIOLOGY, H.I.S
• Sher-Den Home Health, Inc.
• Sherman Anesthesia, Inc
• Sherman Apothecary, LP (Heritage Parkway Pharmacy)
• Sherman Apothecary, LP (ReNue Rx)
• Sherman Cardiovascular Care Associates PA

• Hearing Instrument Specialist in Sherman, TX
• Providers in Sherman, TX by specialty
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.