NPIMap

Organization Active NPI

Kevin P Shearer, Inc.

  • General Practice Dentistry
  • Mount Shasta, CA
National Provider Identifier
1821385220
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60469 Issued in CA
Legal business name
KEVIN P SHEARER, INC.
Practice address
701 Pine St
Mount Shasta, CA 96067-2133
Phone
(539) 926-6333
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Kevin P Shearer, D.D.S.
Title
President
Phone
(530) 926-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60469 CA Primary

Addresses

Primary practice location

701 Pine St
Mount Shasta, CA 96067-2133

Mailing address

701 Pine St
Mount Shasta, CA 96067-2133
Phone (539) 926-6333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1821385220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "539-926-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "539-926-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P SHEARER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-926-6333",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.