DR. CAROLINE SHEPHERD (NPI# 1972658094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972658094 |
| Entity Type | Individual |
| Full Name | DR. CAROLINE SHEPHERD |
| Credential | D.D.S. |
| Practice Address |
1394 S Route 12 Fox Lake IL 60020-1949 |
| Mailing Address |
3078 Nicklaus Ln Wadsworth IL 60083-8944 |
| Practice Telephone | 8475875053 |
| Mailing Telephone | 8476729569 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019027016 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739489 | Caroline Nicole Shepherd | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2018-05-03 |
| 1700093929 | Caroline Shepherd | Dentist | 110 Lockwood Ave, Ste. 103, New Rochelle, NY 10801-5028 | 2007-05-17 |
| Street Address |
1394 S ROUTE 12 |
| City | FOX LAKE |
| State | IL |
| Zip Code | 60020-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124124821 | Thomas Love Prendergast | Dentist | 1394 S Route 12, Fox Lake, IL 60020-1949 | 2006-09-16 |
| 1639438765 | Thomas L. Prendergast, Dds, PC | Dentist | 1394 S Route 12, Fox Lake, IL 60020-1949 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043510621 | Northwestern Lake Counseling | Early Intervention Provider Agency | 17 West Grand Ave., Fox Lake, IL 60020 | 2010-10-28 |
| 1124074653 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1350 S Route 12, Fox Lake, IL 60020 | 2006-05-26 |
| 1063903417 | Crystal C Scholten | Physical Therapist | 1294 S Route 12, Fox Lake, IL 60020 | 2018-05-22 |
| 1639525116 | Fox Lake Fire Protection District | General Acute Care Hospital | 306 Washington Ave, Fox Lake, IL 60020 | 2016-05-13 |
| 1598075269 | David Torres | Counselor | 17 W Grand Ave, Fox Lake, IL 60020 | 2010-10-15 |
| 1972843175 | Surgical Assistant Innovations, LLC | Registered Nurse | 1236 Shagbark Ct, Fox Lake, IL 60020-0806 | 2013-02-25 |
| 1073982583 | Sharilee Shaver | Social Worker | 7105 Saint Tropez Ct, Fox Lake, IL 60020-1040 | 2015-09-15 |
| 1992893010 | Western Lake | Community/Behavioral Health | 21 W Grand Ave, Fox Lake, IL 60020-1209 | 2006-10-11 |
| 1356679534 | Darlene Krieger | Counselor | 17 W Grand Ave, Fox Lake, IL 60020-1209 | 2009-11-25 |
| 1992330278 | Nancy D Bourke | Counselor | 34 W Grand Ave, Fox Lake, IL 60020-1224 | 2020-03-07 |
| Find all providers in zip 60020 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262434 | Dental Professionals of Illinois, P.C. | Dentist | 1402 S Us Highway 12, Fox Lake, IL 60020-1252 | 2018-07-25 |
| 1225144637 | Daniel A Dohnalek Dds Ltd | Dentist | 1394 S Us Highway 12, Fox Lake, IL 60020-1949 | 2006-08-21 |
| 1194737759 | Daniel Choo | Dentist | 1250 S Us Highway 12, Fox Lake, IL 60020-1950 | 2006-08-12 |
| 1144243585 | Carlton Bruce Hagstrom | Dentist | 208 S Us Highway 12, Fox Lake, IL 60020-1928 | 2006-07-26 |
| 1639438765 | Thomas L. Prendergast, Dds, PC | Dentist | 1394 S Route 12, Fox Lake, IL 60020-1949 | 2012-05-09 |
| 1902818560 | Cd&l Dental Associates, Inc. | Dentist | 1250 S Us Highway 12, Fox Lake, IL 60020-1950 | 2006-08-12 |
| 1962414532 | Donald Saltzman | Dentist | 1250 S Us Highway 12, Fox Lake, IL 60020-1950 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| 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.