DR. STEPHEN ROBERT SHEPHERD


Address: 12569 Newport Ave, Tustin, CA 92780-2420
Phone: 7145442220

DR. STEPHEN ROBERT SHEPHERD (NPI# 1487630992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487630992
Entity Type Individual
Full Name DR. STEPHEN ROBERT SHEPHERD
Credential D.D.S.
Practice Address 12569 Newport Ave
Tustin
CA 92780-2420
Practice Telephone 7145442220
Practice Fax Number 7145442701
Mailing Telephone 7145442220
Mailing Fax Number 7145442701
Enumeration Date 2005-12-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
31706 CA Dental Providers

Other Providers STEPHEN SHEPHERD

NPI Name Taxonomy Address Enumeration
1952697328 Stephen Lee Shepherd Family Medicine 8383 W Alameda Ave, Lakewood, CO 80226-3007 2011-06-23
1770643371 Stephen Scott Shepherd Dentist 105 Adams Street, Stevenson, AZ 35772 2006-12-12

Office Location

Street Address 12569 NEWPORT AVE
City TUSTIN
State CA
Zip Code 92780-2420

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780947 John Michael Michael Pharmacist 14481 Wildeve Ln, Tustin, CA 92780 2020-02-03
1609426881 Abigail Joy Maqsood Behavior Technician 290a S Prospect Ave, Tustin, CA 92780 2019-09-19
1255814711 Hyun Dong Lee Chiropractor 14591 Newport Ave Ste 106, Tustin, CA 92780 2018-09-11
1346733573 Elizabeth Kim Nguyen Dds Inc Clinic/Center 14521 Red Hill Ave, Tustin, CA 92780 2018-06-12
1255829503 Hw Physical Therapy Physical Therapist 250 El Camino Real Ste 100, Tustin, CA 92780 2018-04-23
1912494352 Gary Wayne Mcbeath Marriage & Family Therapist 17821 E 17th Street, Suite # 260, Tustin, CA 92780 2018-04-20
1104334598 Catherine Bogues Speech-Language Pathologist 661 West 1st Street, Suite E, Tustin, CA 92780 2018-01-19
1972019941 Lighthouse Behavioral Solutions Behavioral Analyst 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 2017-12-28
1629597299 Lifecab, LLC Non-emergency Medical Transport (VAN) 13732 Newport Ave, Suite #1, Tustin, CA 92780 2017-09-14
1437606555 Tustin Speech Therapy, Inc. Speech-Language Pathologist 661 West First Street, Suite E, Tustin, CA 92780 2016-09-07
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275788994 Rebecca L Hart Dentist 12569 Newport Avenue, Tustin, CA 92780 2008-11-21
1255537395 Marlene A. Miller, Dmd, Inc. Dentist 18102 Irvine Blvd, Suite 203, Tustin, CA 92780-3402 2007-06-25
1790993913 Mary M. Jew Dds, A Professional Organization Dentist 18102 Irvine Blvd, Suite 200, Tustin, CA 92780-3402 2007-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982204780 Richard Koh Dds Ms Inc. Dentist 11 Delano, Irvine, CA 92602-2462 2020-10-30
1225641293 Richard T. Kao, Dds, Phd - Dental Corp. Dentist 1660 Willow St Ste 3, San Jose, CA 95125-5101 2020-08-28
1093325722 Sergio Florencio Jr, Dds, Dmsc, Inc Dentist 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 2020-08-06
1205463445 Sharona Dayan, Dds, Inc Dentist 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 2020-03-26
1215573522 Vanessa Bikhazi Dentist 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 2019-11-21
1063057008 Robert Lacrampe Dentist 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 2019-11-13
1376194639 Snow Nakano & Lopez Professional Dental Corporation Dentist 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 2019-09-26
1659926285 Suman Ramakumar Dds Inc Dentist 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 2019-08-09
1912567058 Andrew Peterson Dmd Ms PC Dentist 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 2019-06-20
1124686233 Danoukh Dental Corp. Dentist 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 2019-06-04
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Competitor

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City TUSTIN
Zip Code 92780

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Dataset Information

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.

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