Cecil Rosco Shrewsberry IV, D.D.S., M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

N8147 Issued in TX

Practice address

3231 Woodward Dr Ste B
Huntsville, TX 77340-4101

Phone

(936) 755-5750

Fax

(210) 519-0082

NPI assigned

Jan 12, 2010

Last updated

Apr 30, 2019By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 28, 2017 through Mar 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1871823963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 WOODWARD DR STE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404101",
            "telephone_number": "936-755-5750",
            "fax_number": "210-519-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WOODWARD DR STE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404101",
            "telephone_number": "936-755-5750",
            "fax_number": "210-519-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREWSBERRY",
        "first_name": "CECIL",
        "middle_name": "ROSCO",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "5505",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "25178",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "N8147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri C Gaines MD PA
• Trisha Gail Sheridan, WHNP-BC
• Linda Carol Sherwood, NURSE AIDE
• Kimberly Woods Shipper, PA-C
• Stacey James Shirley, R.PH.
• Urmil R Shukla, MD
• Iyad Shurrab
• Silver Oaks Senior Activity Center
• Leigha Simple
• Sims Dentisty, PLLC

• Oral & Maxillofacial Surgery (D.M.D.) in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.