Individual provider Active NPI

James M Shepler III

  • Dentist
  • Kettering, OH
National Provider Identifier
1801099627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19911 Issued in OH
Practice address
1950 S Smithville Rd
Kettering, OH 45420-1446
Phone
(937) 253-9115
Fax
(937) 253-3976
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19911 OH Primary

Addresses

Primary practice location

1950 S Smithville Rd
Kettering, OH 45420-1446

Mailing address

1230 North County Line Rd
Tipp City, OH 45371
Phone (937) 698-8230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610000315 OH Order and Referring Only - DentistPractitioner - Dentist 0042531451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19911OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Buren Dental CurrentSince Jan 15, 2023 Accepting new patients
Michael C Dahm Past Accepting new patients

Locations

3450 S Smithville Rd
Kettering, OH 45420
Phone (937) 253-9115

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801099627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 NORTH COUNTY LINE RD",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "45371",
            "telephone_number": "937-698-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S SMITHVILLE RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201446",
            "telephone_number": "937-253-9115",
            "fax_number": "937-253-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLER III",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.