Carl Richard Shepp, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2011 Issued in MT

Practice address

5577 US Highway 93 N
Florence, MT 59833-6845

Phone

(406) 273-2015

Fax

(406) 273-2782

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT

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

Locations

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.

• Florence Dental PC

  • Dentist
  • Florence, MT
  • NPI 1184385551
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1891807046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598330368",
            "telephone_number": "406-273-2015",
            "fax_number": "406-273-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 US HIGHWAY 93 N",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336845",
            "telephone_number": "406-273-2015",
            "fax_number": "406-273-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPP",
        "first_name": "CARL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1184385551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE CHIP PROGRAM",
            "identifier": "5511428",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111673",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Reynolds
• Alex Taylor Robinson, PCA
• Mark Sampson, MD
• Sapphire Psychiatric Health Care Services, Inc
• Laura K Shelton, MD
• Samantha Jo Stringham, MSW, SWLC/LCSW
• The Nurturing Edge
• Alicia Walker, LM, CPM
• Michelle Lynn Welch
• Well Versed Teletherapy LLC

• Dentist in Florence, MT
• Providers in Florence, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.