Richard Stake Shields, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10554 Issued in NC

Practice address

123 Hendersonville Rd
Asheville, NC 28803-2868

Phone

(828) 252-4290

NPI assigned

Aug 26, 2006

Last updated

Mar 17, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1083127237
  NPD (past)
• KC Dental Group PLC

  • General Practice Dentistry
  • Centreville, MI
  • NPI 1982409017
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871601369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "269-929-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-252-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "664- F East Main St",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MI",
            "postal_code": "490320777",
            "country_code": "US",
            "telephone_number": "269-467-9325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RICHARD",
        "middle_name": "STAKE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4067750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Helms Sherrill, PHARMD
• Sandra Leigh Sherrill, LPC
• Anne R Sherry, LPC, LCAS, CCS
• Thomas Justin Sherry, LCSW
• Jessica Kathleen Shevlino, PA
• William Shillinglaw, D.O.
• Bethany Thomas Shingleton, LCSW
• Shining Rock Associates, Inc. (STAT Nursing Services)
• Shining Rock Associates, Inc. (STAT Nursing Services)
• Teresa S Shipman, CFOM

• General Practice Dentistry in Asheville, NC
• Providers in Asheville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.