Rebekah Kathryn Sheppard, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

L2018445 Issued in MI

Practice address

2911 West Rd
Trenton, MI 48183-2469

Phone

(734) 675-5700

NPI assigned

Jun 13, 2011

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sheppard Dental Group LLC

  • Dental Clinic/Center
  • Lewiston, MI
  • NPI 1073275376
  NPD Authorized official
• Sheppard Dental Health and Associates

  • Dental Clinic/Center
  • Gaylord, MI
  • NPI 1760046254
  NPD Authorized official

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1861787350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22026 BALMORAL DR",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381404",
            "telephone_number": "734-250-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832469",
            "telephone_number": "734-675-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "REBEKAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "L2018445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Shafer, LLP
• Arhum Shahab, DO
• Yazeed Shamieh, DO
• Dakota Stone Shank, DO
• Mackenzie Shepard, DO
• Sheri L. Snider D.D.S., P.C.
• Brittany Sherwood, MD
• Madison Shivel, DO
• Miranda Shores, TLLP
• Mustafa Siddique

• General Practice Dentistry in Trenton, MI
• Providers in Trenton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.