Organization Active NPI

Dennis D Shepard MD Inc

  • Ophthalmology Physician
  • Santa Maria, CA
National Provider Identifier
1841661394
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A69671 Issued in CA
Legal business name
DENNIS D SHEPARD MD INC
Practice address
1418 E Main St Ste 130
Santa Maria, CA 93454-4836
Phone
(805) 614-7591
Fax
(805) 614-7592
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Mrs. Franziska Shepard
Title
Secretary
Phone
(805) 614-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A69671 CA Primary

Addresses

Primary practice location

1418 E Main St Ste 130
Santa Maria, CA 93454-4836

Mailing address

1418 E Main St Ste 130
Santa Maria, CA 93454-4836
Phone (805) 614-7591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1841661394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E MAIN ST STE 130",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544836",
            "telephone_number": "805-614-7591",
            "fax_number": "805-614-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E MAIN ST STE 130",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544836",
            "telephone_number": "805-614-7591",
            "fax_number": "805-614-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS D SHEPARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "FRANZISKA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "805-614-7591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A69671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.