Taylor Shepard

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

065033 Issued in NY

Practice address

9 Century Hill Dr
Latham, NY 12110-2113

Phone

(518) 785-3911

NPI assigned

Apr 24, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason T. Decker, DDS and Nancy a. Cavotta DDS, PC.

  • Pediatric Dentistry
  • Latham, NY
  • NPI 1902942246
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1952099442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SHINNECOCK HILLS DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102113",
            "telephone_number": "518-785-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Delaware Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120541402",
            "country_code": "US",
            "telephone_number": "518-785-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "065033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rose Sheehan, PNP
• Aysha Imran Sheikh
• Lisa Sheldon, OD
• Jian Shen, MD
• Karyn Shenker, OT
• Timothy Folsom Shepard, MD
• Alexander Thieme Sheppard
• Zachary Sheppeck, DPT
• David E Sherwood
• Susan Shetler, CCC-LSLP

• Pediatric Dentistry in Latham, NY
• Providers in Latham, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.