Active NPI
Liliane Shepard, D.D.S.
- Dentist
- Vista, CA
National Provider Identifier
1902926702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41704
- Practice address
- 3211 Business Park Dr Ste a
Vista, CA 92081-8259 - Phone
- (760) 727-6800
- Fax
- (760) 727-4225
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41704 | CA | Primary |
Addresses
Primary practice location
3211 Business Park Dr Ste a
Vista, CA 92081-8259
Mailing address
630 Nordahl Rd Ste D
San Marcos, CA 92069-3541
Phone (760) 480-1750
Other names 1
- Dr. Liliane Boabaid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41704 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepard Dental Corporation | Current | Accepting new patients |
Locations
630 Nordahl Rd
Ste D
San Marcos, CA 92069
Phone (760) 453-5702
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- San Marcos, CA
- NPI 1740089580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1902926702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 NORDAHL RD STE D",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693541",
"telephone_number": "760-480-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 BUSINESS PARK DR STE A",
"city": "VISTA",
"state": "CA",
"postal_code": "920818259",
"telephone_number": "760-727-6800",
"fax_number": "760-727-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "LILIANE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILIANE",
"last_name": "BOABAID",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.