NPIMap

Organization Active NPI

Scott a Sheppard, DDS, PLLC

  • General Practice Dentistry
  • Lawton, OK
National Provider Identifier
1992277883
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCOTT A SHEPPARD, DDS, PLLC
Practice address
4206 SW Lee Blvd
Lawton, OK 73505-8331
Phone
(580) 355-3065
Fax
(580) 355-3084
NPI assigned
Dec 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Dr. Scott Andrew Sheppard, DDSNPI 1952784084
Title
Dentist/Owner
Phone
(580) 678-8745

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4206 SW Lee Blvd
Lawton, OK 73505-8331

Mailing address

4206 SW Lee Blvd
Lawton, OK 73505-8331
Phone (580) 355-3065

Other names 1

  • Sheppard Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4206 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-3065

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1992277883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058331",
            "telephone_number": "580-355-3065",
            "fax_number": "580-355-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058331",
            "telephone_number": "580-355-3065",
            "fax_number": "580-355-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A SHEPPARD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "580-678-8745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheppard Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.