Organization Active NPI

Laurie E Shepherd DDS Inc

  • Dentist
  • Oakland, CA
National Provider Identifier
1598544124
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAURIE E SHEPHERD DDS INC
Practice address
2087 Mountain Blvd # B
Oakland, CA 94611-2815
Phone
(510) 339-1045
Fax
(510) 339-4467
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Laurie E Shepherd, DDSNPI 1548294804
Title
Owner
Phone
(510) 339-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2087 Mountain Blvd # B
Oakland, CA 94611-2815

Mailing address

2087 Mountain Blvd # B
Oakland, CA 94611-2815
Phone (510) 339-1045

National Provider Directory

National Provider Directory

Locations

2087 Mountain Blvd
#B
Oakland, CA 94611
Phone (510) 339-1045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1598544124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 MOUNTAIN BLVD # B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112815",
            "telephone_number": "510-339-1045",
            "fax_number": "510-339-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 MOUNTAIN BLVD # B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112815",
            "telephone_number": "510-339-1045",
            "fax_number": "510-339-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE E SHEPHERD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-339-1045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.