Individual provider Active NPI

James Marvin Shepler II, DENTIST

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1396861852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13362 Issued in OH
Practice address
6500 N Main St
Dayton, OH 45415-2832
Phone
(937) 275-0076
Fax
(937) 275-0995
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13362 OH Primary

Addresses

Primary practice location

6500 N Main St
Dayton, OH 45415-2832

Mailing address

6500 N Main St
Dayton, OH 45415-2832
Phone (937) 275-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150810000116 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183938848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13362OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Main Dental Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396861852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152832",
            "telephone_number": "937-275-0076",
            "fax_number": "937-275-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152832",
            "telephone_number": "937-275-0076",
            "fax_number": "937-275-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLER",
        "first_name": "JAMES",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.