WALTER BRIAN SHEPHERD (NPI# 1871696427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871696427 |
| Entity Type | Individual |
| Full Name | WALTER BRIAN SHEPHERD |
| Credential | DDS MS |
| Practice Address |
113 E Moore St Eden NC 27289 |
| Mailing Address |
Po Box 246 Walter Shepherd Dds Ms Eden NC 27289 |
| Practice Telephone | 3366275163 |
| Practice Fax Number | 3366275165 |
| Mailing Telephone | 3366275163 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
014113 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS INSURANCE OF VA | 078247 | 01 |
| NC | 8997773 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023130275 | Walter Neal Shepherd | Dentist | 3285 Blazer Parkway, Suite 110, Lexington, KY 40509 | 2007-04-06 |
| 1245391887 | Walter Philip Shepherd | Psychologist | 2149 Mango Pl, Jacksonville, FL 32207-3325 | 2006-12-13 |
| Street Address |
113 E MOORE ST |
| City | EDEN |
| State | NC |
| Zip Code | 27289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295907574 | Walter B. Shepherd | Dentist | 113 E Moore St, Eden, NC 27288 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1033720560 | Cara Danielle Skulski | Nurse Practitioner | 3028 Hillbrook Dr, Eden, NY 14057-1246 | 2020-08-10 |
| 1295352052 | Allison Petschul | Speech-Language Pathologist | 303 Maplewood Dr, Eden, NC 27288-5244 | 2020-06-28 |
| 1699395210 | Lauren Jayne Gugino | Student in an Organized Health Care Education/Training Program | 2939 E Pleasant Ave, Eden, NY 14057-1234 | 2020-04-23 |
| 1144856154 | Jennifer Dellapenta | Speech-Language Pathologist | 4071 Hardt Rd, Eden, NY 14057-9650 | 2020-03-21 |
| 1194350561 | Mindy Alicia Miller | Nurse Practitioner | 518 S Van Buren Rd Ste 7, Eden, NC 27288-5017 | 2020-03-06 |
| 1487284519 | Anna L. R. Finney | Behavior Technician | 3429 Residential Dr, Eden, MD 21822-2234 | 2020-01-16 |
| 1730728023 | Purpose In Grace Counseling, Pllc | Community/Behavioral Health | 718 Washington St, Eden, NC 27288-6029 | 2020-01-03 |
| 1073151874 | Mahala's Hope, Inc. | Clinic/Center | N4590 Us Highway 45, Eden, WI 53019-1212 | 2019-12-12 |
| Find all providers in EDEN | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295907574 | Walter B. Shepherd | Dentist | 113 E Moore St, Eden, NC 27288 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251344 | Zammitti Gidaly Abrams Cohen & Associates V PC | Dentist | 13527 Steelecroft Pkwy Ste C, Charlotte, NC 28278-7887 | 2020-10-05 |
| 1578177952 | Mcmillian Dds and Morrone Dmd, Pa | Dentist | 2301 Battleground Ave, Greensboro, NC 27408-5422 | 2020-09-03 |
| 1487263125 | T Richard Ziehmer Dds Msd Pllc | Dentist | 4016 Battleground Ave Ste H, Greensboro, NC 27410-9800 | 2020-07-29 |
| 1952929986 | Keri Beth Kenning | Dentist | 1915 Hendersonville Rd, Asheville, NC 28803-2104 | 2020-07-07 |
| 1992323901 | M. Avey & Associates Nc PC V | Dentist | 1507 Westover Ter Ste A, Greensboro, NC 27408-7121 | 2020-07-07 |
| 1669037834 | Drs Shrager and Reimels Pllc | Dentist | 8331 Bandford Way Ste 105, Raleigh, NC 27615-2765 | 2019-05-03 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1265907612 | Roberts Hoina & Associates Pllc | Dentist | 5069 University Pkwy Ste 11, Winston Salem, NC 27106-6083 | 2018-10-11 |
| 1710461520 | A M Jackson & Associates Dds Ms Pllc | Dentist | 8430 University Exec Park Dr Ste 605, Charlotte, NC 28262-1353 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
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| 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.