Individual provider Active NPI

William Duncan Shepard, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1952712853
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
35039 Issued in TX
Practice address
2450 Fondren Rd Ste 320
Houston, TX 77063-2320
Phone
(713) 783-5560
NPI assigned
May 13, 2014
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 35039 TX Primary

Addresses

Primary practice location

2450 Fondren Rd Ste 320
Houston, TX 77063-2320

Mailing address

2450 Fondren Rd Ste 320
Houston, TX 77063-2320
Phone (713) 783-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807002638 AL Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 2668699067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35039TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Piney Point Oral and Maxillofacial Surgery of Cypress PLLC Oral and Maxillofacial Surgery CurrentSince Jun 8, 2025 Accepting new patients
Piney Point Oral and Maxillofaical Surgery, P.a. Oral and Maxillofacial Surgery PastSince Jul 12, 2020 Accepting new patients

Locations

2450 Fondren Rd
Ste 320
Houston, TX 77063
Phone (713) 783-3116

Interoperability endpoints

  • Direct secure messaging: wshepard339487@directhoustonmethodist.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1952712853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632320",
            "telephone_number": "713-783-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632320",
            "telephone_number": "713-783-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "WILLIAM",
        "middle_name": "DUNCAN",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "35039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.