Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083888580 Individual Practitioner Male Practitioner

Dr. Travis Trent Shepherd , DMD

Dentist - General Practice • Kimberly, ID

Professional Overview & Biography Verified Profile Summary

Dr. Travis Shepherd, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kimberly, ID. Practice services are available at 901 CENTER STREET WEST STE. A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 Center Street West Ste. A

Kimberly, ID 83341

Telephone 2084235001
Fax 2084234867
Associated Practice Facility / Clinic
🏢 Infinity Dental Pllc Facility NPI 1700241890

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kimberly, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Kimberly, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM 3277

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.

Secondary Practice Locations

1000 Humboldt Ave

Wells, NV 89835

Phone: 7757523056

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 28, 2022

Registered at 901 CENTER STREET WEST STE. A, KIMBERLY, ID 83341 (Tel: 2084235001)

📍
Updated Business Mailing Address January 28, 2022

Registered at 610 GARNET DR, KIMBERLY, ID 833411942 (Tel: 5057870082)

NPI Profile Active April 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2010

Registered at 6588 E MAIN ST, FARMINGTON, NM 874025122 (Tel: 5053266800)

📍
Updated Business Mailing Address April 09, 2010

Registered at 6588 E MAIN ST, FARMINGTON, NM 874025122

👤
Provider Name / Credentials Updated April 09, 2010

Recorded as TRAVIS SHEPHERD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2010

Dentist (License #3277 in NM)

🟢
Initial NPI Registration & Enumeration April 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083888580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2008
Last Update: January 28, 2022
Sole Proprietor: No

Mailing Address

610 Garnet Dr

Kimberly, ID 833411942

Phone: 5057870082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.