Steve D Shufflebarger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30021080 Issued in OH

Practice address

1850 Grand Portage TRL
Xenia, OH 45385-9593

Phone

(937) 369-3069

NPI assigned

Jun 13, 2005

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

Enrolled in OH

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

Interoperability endpoints

• Direct secure messaging: sshufflebarger2904152@direct.trinity-health.org

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.

• Sdsdds, LLC

  • Dentist
  • Xenia, OH
  • NPI 1326215005
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1902800436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GRAND PORTAGE TRL",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859593",
            "telephone_number": "937-369-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GRAND PORTAGE TRL",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859593",
            "telephone_number": "937-369-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFFLEBARGER",
        "first_name": "STEVE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benyamin Shepherd
• Darcy L Shepherd
• David Sheppard
• Chastity Shoemaker
• Julie Shrock, ED.S, NCSP
• Dustin Shull
• Teresa Sichman
• Payne Sigman
• Melissa Simmons, CDCA
• Scott Simmons

• General Practice Dentistry in Xenia, OH
• Providers in Xenia, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.