DR. JEFFREY CLINTON SHEPHERD (NPI# 1205050861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205050861 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLINTON SHEPHERD |
| Credential | D.D.S. |
| Practice Address |
10333 El Camino Real Atascadero CA 93422-5808 |
| Mailing Address |
1600 9th Street, Room 150 Fiscal Allocations and Estimates Unit Sacramento CA 95814-6414 |
| Practice Telephone | 8054682000 |
| Practice Fax Number | 8054686011 |
| Mailing Telephone | 9166519475 |
| Mailing Fax Number | 9166518908 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32774 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225357189 | Jeffrey Shepherd | Orthopaedic Surgery | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2010-05-18 |
| 1447454517 | Jeffrey D Shepherd | Dentist | 5300 S. Adams Ave. Parkway, Suite #9, Ogden, UT 84405-8440 | 2007-06-13 |
| Street Address |
10333 EL CAMINO REAL |
| City | ATASCADERO |
| State | CA |
| Zip Code | 93422-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565628 | Olga A Yahontova | Psychiatry & Neurology | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2005-06-01 |
| 1699385294 | Kathleen Trotta | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2020-08-07 |
| 1346875960 | Elizabeth Ann Schmidt | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2020-03-04 |
| 1811521578 | Maria Lourdes Maningding Martinez | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2020-03-02 |
| 1154968907 | Kacee M Stagg | Dietitian, Registered | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-11-27 |
| 1306482344 | Lester James Willis | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-11-25 |
| 1053968552 | Michael Bormacoff Jr. | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-08-20 |
| 1649826264 | Jacek Cieply | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-08-11 |
| 1164991220 | David Pyo | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-11-19 |
| 1407324387 | Travis Mcgee | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
| 1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
| 1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
| 1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
| 1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
| 1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
| Find all providers in zip 93422 | ||||
| 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 |
|---|---|---|---|---|
| 1710193628 | Douglas Nigel Lock | Dentist | 8370 Morro Rd, Atascadero, CA 93422-3927 | 2007-05-15 |
| 1972729077 | Dwayne Robert Burbach | Dentist | 7005 Atascadero Ave, Atascadero, CA 93422-4431 | 2007-04-17 |
| 1629157664 | Richard A Boone | Dentist | 8715 El Camino Real, Atascadero, CA 93422-5368 | 2006-11-02 |
| 1437253564 | Brack Lee Linscott | Dentist | 5942 W Mall, Atascadero, CA 93422 | 2006-09-11 |
| 1235153347 | Robert Clark Miller | Dentist | 5988 West Mall, Atascadero, CA 93422 | 2006-07-26 |
| 1225054851 | Charles Kevin Farr | Dentist | 5425 El Camino Real, Atascadero, CA 93422-3355 | 2006-07-15 |
| 1215968912 | Stefan Charles Van Harmelen | Dentist | 8360 Morro Rd, Atascadero, CA 93422-3927 | 2006-07-05 |
| 1912510827 | Charlotte Milch, D.d.s., Inc. | Dentist | 8715 El Camino Real, Atascadero, CA 93422-5368 | 2020-08-29 |
| 1538603790 | Drs. Chalker and Peterson, A Dental Partnership | Dentist | 7405 Morro Rd, Atascadero, CA 93422-4423 | 2016-12-07 |
| 1447562137 | Scott Gregory Peterson | Dentist | 7405 Morro Rd, Atascadero, CA 93422-4423 | 2010-07-09 |
| Find all providers in ATASCADERO | ||||
| City | ATASCADERO |
| Zip Code | 93422 |
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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.