Clayton Roland Shepard, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN-DEN-LIC-24480 Issued in MT

Practice address

1315 US Highway 2 W
Kalispell, MT 59901-3413

Phone

(406) 890-6364

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shepard Family Dentistry, P.C.

  • Dental Clinic/Center
  • Coon Rapids, MN
  • NPI 1982305454
  NPD (past) Authorized official
• Vala Dental, LLC

  dba 406Dentistry

  • Dental Clinic/Center
  • Kalispell, MT
  • NPI 1912595364
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1700875077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CHURCH DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017038",
            "telephone_number": "406-609-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 US HIGHWAY 2 W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-890-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "CLAYTON",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10035MN",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-24480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "DEN-DEN-LIC-24480",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "10035MN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Shaver, ACC
• Megan Shaver
• Kelly Anne Shaw, LCPC
• David G. Sheldon, M.D.
• Shelley Bruce Enterprises, Inc. (Comfort Keepers)
• Nicky Shepard, MS
• Casey Russell Shepherd, DMD MD
• Natalie Sherbrooke, OTD, OTR/L
• Julia Bradshaw Sherrick, CNM
• Robert C. Sherrick, M.D.

• Dentist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.