NPIMap

Organization Active NPI

Shepherd Lane Dental Associates

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1679716641
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHEPHERD LANE DENTAL ASSOCIATES
Practice address
3065 N Josey LN
Carrollton, TX 75007-5340
Phone
(972) 416-5755
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Sammie Walker
Title
Manager
Phone
(972) 286-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3065 N Josey LN
Carrollton, TX 75007-5340

Mailing address

3065 N Josey LN
Carrollton, TX 75007-5340

National Provider Directory

National Provider Directory
Tax ID family
Shepherd Lane Dental Associates8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3065 N Josey Ln
Carrollton, TX 75007
Phone (972) 416-5755

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1679716641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075340",
            "telephone_number": "972-416-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD LANE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SAMMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-286-5711"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.