John Murdaugh Shepherd Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401003167 Issued in VA

Practice address

5249 Olde Towne Rd
Olde Towne Medical Center
Williamsburg, VA 23188-8111

Phone

(757) 259-3255

NPI assigned

Jun 21, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1558567115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 KINGS GRANT DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236923627",
            "telephone_number": "757-898-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "address_2": "OLDE TOWNE MEDICAL CENTER",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JOHN",
        "middle_name": "MURDAUGH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401003167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004909976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Shearer, NBC-HWC
• Marian Shearin
• Rebecca Sheffield, L.P.C.
• Shane Andrew Sheffield, MS.ED.
• Bobby Leonard Shelton II, MD
• Krita Sheth, ANP-BC
• Stephen Wyatt Shield, M.D.
• Kerrie A Shively
• Grace Delk Shortt, LCSW
• Michael C. Shuck, D.D.S.

• Dentist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.