Shepard Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHEPARD DENTAL CORPORATION

Practice address

630 Nordahl Rd Ste D
San Marcos, CA 92069-3541

Phone

(760) 453-5702

NPI assigned

Mar 12, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liliane Shepard, DDSNPI 1902926702

Title

Owner

Phone

(760) 453-5702

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Liliane Shepard, D.D.S.

  • Dentist
  • Vista, CA
  • NPI 1902926702
  NPD Authorized official

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1740089580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 NORDAHL RD STE D",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693541",
            "telephone_number": "760-453-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 NORDAHL RD STE D",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693541",
            "telephone_number": "760-453-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "LILIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-453-5702",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaurya Shekhar
• Jessica Lynn Shell, LPCC, ATR-BC, RYT
• Anne Marlene Shelton, PHD
• Debbie E Shelton, RN
• Sidney Shelton
• Janeay Sheppard
• Rikki Sher
• Sheri's Occupational Therapy Services
• Shane Sheridan, D.C.
• Steven J. Sherman, M.D.

• Dental Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.