TRAVIS SHEARER (NPI# 1396721882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396721882 |
| Entity Type | Individual |
| Full Name | TRAVIS SHEARER |
| Credential | DENTIST |
| Practice Address |
1115 Independence Dr West Plains MO 65775-4221 |
| Mailing Address |
1137 Independence Dr West Plains MO 65775-4221 |
| Practice Telephone | 4172558464 |
| Practice Fax Number | 4172559741 |
| Mailing Telephone | 4172558213 |
| Mailing Fax Number | 4172552013 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2004018069 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 406090704 (GROUP) | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053724955 | Travis Shearer | Physician Assistant | 3954 Applegate Cir, Brandon, FL 33511-7985 | 2014-06-09 |
| Street Address |
1115 INDEPENDENCE DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155104 | Darrell F Mahan | Social Worker | 1115 Independence Dr, West Plains, MO 65775-4221 | 2005-12-16 |
| 1790761278 | Billie Ruth Hutchings | Social Worker | 1115 Independence Dr, West Plains, MO 65775-4221 | 2005-12-16 |
| 1750367223 | Elizabeth W Mahan | Social Worker | 1115 Independence Dr, West Plains, MO 65775-4221 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053453233 | Comfort Dental Inc | Dentist | 747 W Broadway, West Plains, MO 65775-2368 | 2007-02-13 |
| 1699824672 | Drs Temple and Morrison, LLC | Dentist | 1614 Gibson St, West Plains, MO 65775-1814 | 2007-01-09 |
| 1689721813 | Ted A Deatherage | Dentist | 1616 Gibson St, West Plains, MO 65775-1814 | 2007-01-03 |
| 1285678003 | James W Lofgren | Dentist | 310 Kentucky Ave, Suite 2, West Plains, MO 65755-2075 | 2006-06-15 |
| 1184689069 | Bruce Craig Maxwell | Dentist | 747 W Broadway St, West Plains, MO 65775-2368 | 2006-04-20 |
| 1922084417 | Alanna R Temple | Dentist | 1725 Hull St, West Plains, MO 65775 | 2005-12-16 |
| 1932761848 | Ashleigh J Gillespie | Dentist | 1137 Independence Dr, West Plains, MO 65775-4221 | 2019-07-01 |
| 1396128997 | Catherine Pyle | Dentist | 1137 Independence Dr, West Plains, MO 65775-4221 | 2015-07-01 |
| 1508051624 | Gregory L Temple | Dentist | 1614 Gibson St, West Plains, MO 65775-1814 | 2007-09-11 |
| 1497940761 | Brian Heath Morrison | Dentist | 1614 Gibson St, West Plains, MO 65775-1814 | 2007-09-10 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on TRAVIS SHEARER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.