Paul Andrew Shepherd, D.M.D.,M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN012712 Issued in GA

Practice address

125 Eagles Pointe Pkwy
Suite 200
Stockbridge, GA 30281-6379

Phone

(770) 474-0007

Fax

(770) 474-5453

NPI assigned

Jan 30, 2007

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

Credentials

Master of Science

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.

• William F. Schroeder D.D.S.,P.C.

  • Endodontics
  • Stockbridge, GA
  • NPI 1649395344
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336285667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAGLES POINTE PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816379",
            "telephone_number": "770-474-0007",
            "fax_number": "770-474-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLES POINTE PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816379",
            "telephone_number": "770-474-0007",
            "fax_number": "770-474-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN012712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Shealey-Marine, LPN
• Sheer Vision Center LLC
• Kathryn Joan Shelley, P.A.
• Erika Liu Sheng, PA-C
• Katherine Ann Shepherd
• Shepherdcare Hospice,LLC
• Kendra Sherard-Solomon
• Cynthia A Sherrod
• Juan Jose Sherwood, MD
• Sachin Sheth, MD

• Endodontics in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Endodontics in Georgia

• 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.

Verify at the official NPI Registry.