Active NPI
James Morgan Shepherd, DMD
- General Practice Dentistry
- Salyersville, KY
National Provider Identifier
1265570972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5328
- Practice address
- 401 East Mountain Parkway
Salyersville, KY 41465 - Phone
- (606) 349-1133
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 5328 | KY | Primary |
Addresses
Primary practice location
401 East Mountain Parkway
Salyersville, KY 41465
Mailing address
Box 340
401 East Mountain Parkway
Salyersville, KY 41465
Phone (606) 349-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005328700 | Medicaid | KY |
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 |
|---|---|---|---|
| 5328 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265570972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 340",
"address_2": "401 EAST MOUNTAIN PARKWAY",
"city": "SALYERSVILLE",
"state": "KY",
"postal_code": "41465",
"telephone_number": "606-349-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 EAST MOUNTAIN PARKWAY",
"city": "SALYERSVILLE",
"state": "KY",
"postal_code": "41465",
"telephone_number": "606-349-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "JAMES",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "5328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005328700",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salyersville, KY
- Salyersville Health Facilities LP (Salyersville Adult Day Care)
- Salyersville Health Facilities LP (Salyersville Nursing and Rehabilitation Center)
- Salyersville Health Operating Company LLC (Salyersville Nursing and Rehabilitation Center)
- Salyersville Medical Center, LLC
- Carol A. Schmidt, BA/PE
- Mildred P Sizemore, APRN, FNP
- Mary Grace Skeans, MA
- Melissa Gay Slone, LPCC
- Zacharry F Slone, DC
- Brian Sperger, MS., RD., LD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.