Active NPI
Laurie E Shepherd DDS Inc
- Dentist
- Oakland, CA
National Provider Identifier
1598544124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurie E Shepherd, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- Dentist
- Oakland, CA
- NPI 1548294804
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.