Joan A Sheppard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8868 Issued in MN

Practice address

1601 Highway 13 E
Suite 105
Burnsville, MN 55337-6865

Phone

(952) 890-5450

Fax

(952) 707-1122

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Plaza Dental PA

  • Dentist
  • Burnsville, MN
  • NPI 1316976517
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851420665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 MORGAN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313434",
            "telephone_number": "952-346-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E",
            "address_2": "SUITE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376865",
            "telephone_number": "952-890-5450",
            "fax_number": "952-707-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JOAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fardosa Sheikh
• Roble Mahamud Sheikh
• Hodan Muhamed Wali Sheikhabdi
• Halima Sheikhnor
• Paw Moo May Shell
• Timothy Sheppard
• Muranna Royale Richardson Sherwood
• Sheryl J. Freeman, LTD.
• Ahlam Ali Shido
• Ansal Ali Shido

• General Practice Dentistry in Burnsville, MN
• Providers in Burnsville, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.