Benjamin Clayton Shepperd, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24947 Issued in FL

Practice address

1700 6TH Ave N
Bessemer, AL 35020-4849

Phone

(205) 434-2031

NPI assigned

Aug 24, 2020

Last updated

Aug 24, 2020By 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

Locations

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.

• Mission Dental Mobile LLC

  dba Miles of Smiles

  • Dentist
  • Bessemer, AL
  • NPI 1205694932
  NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1568075224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 19TH ST N APT 424",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033161",
            "telephone_number": "770-880-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204849",
            "telephone_number": "205-434-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPERD",
        "first_name": "BENJAMIN",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Sfakianos, RPH
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• Tammy K. Shamsie McCabe, CRNA
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• Shoals Ambulance LLC (Priority Ambulance)
• Naila Siddiqui, M.D
• Sight Clear 2020, LLC (2020 Optical)

• General Practice Dentistry in Bessemer, AL
• Providers in Bessemer, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.