NPIMap

Organization Active NPI

William F. Schroeder D.D.S.,P.C.

Doing business as Paul A. Shepherd D.M.D.,M.S.

  • Endodontics
  • Stockbridge, GA
National Provider Identifier
1649395344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN012712 Issued in GA
Legal business name
WILLIAM F. SCHROEDER D.D.S.,P.C.
Doing business as
Paul A. Shepherd D.M.D.,M.S.
Practice address
125 Eagles Pointe Pkwy
Suite 200
Stockbridge, GA 30281-6379
Phone
(770) 474-0007
Fax
(770) 474-5453
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul A Shepherd, D.M.D. M.S.NPI 1336285667
Title
Endodontist
Phone
(770) 474-0007

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
Endodontics 1223E0200X DN012712 GA Primary

Addresses

Primary practice location

125 Eagles Pointe Pkwy
Suite 200
Stockbridge, GA 30281-6379

Mailing address

125 Eagles Pointe Pkwy
Suite 200
Stockbridge, GA 30281-6379
Phone (770) 474-0007

Other names 1

  • Paul A. Shepherd D.M.D.,M.S. Doing business as

National Provider Directory

National Provider Directory

Locations

125 Eagles Pointe Pkwy
Ste 200
Stockbridge, GA 30281
Phone (770) 474-0007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649395344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAGLES POINTE PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816379",
            "telephone_number": "770-474-0007",
            "fax_number": "770-474-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLES POINTE PKWY",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816379",
            "telephone_number": "770-474-0007",
            "fax_number": "770-474-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F. SCHROEDER D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "770-474-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D. M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN012712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul A. Shepherd D.M.D.,M.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.