Organization Active NPI

Shepherd Dental Corporation

  • Periodontics
  • Corona, CA
National Provider Identifier
1922933563
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SHEPHERD DENTAL CORPORATION
Practice address
1380 El Sobrante Rd
Corona, CA 92879-5759
Phone
(951) 698-5033
NPI assigned
Jun 16, 2026
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dr. Slade Shepherd, DDS,MSNPI 1144923012
Title
Dentist
Phone
(805) 441-5236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1380 El Sobrante Rd
Corona, CA 92879-5759

Mailing address

150 E Birch Ave
Hanford, CA 93230-1409
Phone (805) 441-5236

National Provider Directory

National Provider Directory

Locations

1380 El Sobrante Rd
Corona, CA 92879
Phone (951) 273-9580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1922933563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E BIRCH AVE",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932301409",
            "telephone_number": "805-441-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EL SOBRANTE RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795759",
            "telephone_number": "951-698-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "SLADE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-441-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.