Liliane Shepard

Primary specialty

DentistTaxonomy code 122300000X

License

41704 Issued in CA

Legal business name

LILIANE SHEPARD

Practice address

3211 Business Park Dr Ste a
Vista, CA 92081-8259

Phone

(760) 727-6800

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Liliane Shepard, DDS

Title

Owner

Phone

(760) 727-6800

Specialties & licenses 1

Addresses

Other names 1

• Business Park Dental Doing business as

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1437409984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 SAN PABLO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784701",
            "telephone_number": "760-727-6800",
            "fax_number": "760-727-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 BUSINESS PARK DR STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818259",
            "telephone_number": "760-727-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIANE SHEPARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "LILIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-727-6800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Business Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Vista, CA
• Providers in Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.