Organization Active NPI

John David Shepherd D.M.D.

  • Dental Clinic/Center
  • Birmingham, AL
National Provider Identifier
1629315643
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3970 Issued in AL
Legal business name
JOHN DAVID SHEPHERD D.M.D.
Practice address
2006 Old Montgomery Hwy
Birmingham, AL 35244-1658
Phone
(205) 987-4055
Fax
(205) 987-4635
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Mrs. Cindy R. Braswell
Title
Insurance Coordinator
Phone
(205) 987-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3970 AL Primary

Addresses

Primary practice location

2006 Old Montgomery Hwy
Birmingham, AL 35244-1658

Mailing address

2006 Old Montgomery Hwy
Birmingham, AL 35244-1658
Phone (205) 987-4055

National Provider Directory

National Provider Directory

Locations

2006 Old Montgomery Hwy
Birmingham, AL 35244
Phone (205) 987-4055

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": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1629315643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 OLD MONTGOMERY HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441658",
            "telephone_number": "205-987-4055",
            "fax_number": "205-987-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 OLD MONTGOMERY HWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441658",
            "telephone_number": "205-987-4055",
            "fax_number": "205-987-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DAVID SHEPHERD D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "205-987-4055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.