Kevin Shearer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60469 Issued in CA

Practice address

701 Pine St
Mount Shasta, CA 96067-2133

Phone

(530) 926-6333

NPI assigned

Apr 11, 2012

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1427314756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "530-926-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "KEVIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin See-Swenson, MFT
• Shanhong Lu
• Shasta Midwives Birth Center Inc
• Shasta Mountain Shuttle and Tours LLC
• Shasta Vision Group an Optometric Corporation
• L. Richard Shearer, M.D.
• Grover Gene Shipman, MD
• Anca Marissa Sira, L.AC, FABORM
• Siskiyou Union High School District
• Siskiyou Wellness Community Mental Health

• All providers in Mount Shasta, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.