Zeb Conley Shope Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS1934 Issued in TN

Practice address

2947 Sam James Rd
Maryville, TN 37803-3019

Phone

(865) 379-6292

Fax

(865) 379-6244

NPI assigned

Oct 12, 2005

Last updated

Sep 14, 2007By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1871581033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 SAM JAMES RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378033019",
            "telephone_number": "865-379-6292",
            "fax_number": "865-379-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 SAM JAMES RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378033019",
            "telephone_number": "865-379-6292",
            "fax_number": "865-379-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPE",
        "first_name": "ZEB",
        "middle_name": "CONLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Claire Shell
• Rayna Cecile Sherwood
• Colleen Nobuko Shimazu, MD
• Selby B Shivers, MD
• Lauren Shockley
• Jason M Shotts
• Lynda Gayle Shuler
• Macee Shults
• Lelia M Siano, ATC
• Frank A Sievert, MD

• General Practice Dentistry in Maryville, TN
• Providers in Maryville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.