Gregory Brian Sheppard, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D7220 Issued in AZ

Practice address

3618 W Anthem Way Ste D104
Anthem, AZ 85086-0458

Phone

(623) 551-3391

Fax

(623) 551-8959

NPI assigned

Aug 14, 2007

Last updated

Sep 8, 2008By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Az Specialty Dental Services, LLC

  dba Sheppard Pediatric Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anthem, AZ
  • NPI 1013757848
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1396937231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 W ANTHEM WAY STE D104",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860458",
            "telephone_number": "623-551-3391",
            "fax_number": "623-551-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 W ANTHEM WAY STE D104",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860458",
            "telephone_number": "623-551-3391",
            "fax_number": "623-551-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "GREGORY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah N Scott
• Benjamin Paul Sechena, PHARMD
• Rebecca Sara Seskind
• Michelle Shaughnessy, NP-C
• Erin Elizabeth Shelton, NP-C, RN
• David Paul Shibata
• Kanwardeep Singh Sidhu, O.D.
• Sandra K. Siefken, LPC, LISAC
• Sydney Sjoberg
• Anna Katerina Slaven, DPT

• Pediatric Dentistry in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.