Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063452274 Individual Practitioner Male Practitioner

Dr. Stephen K Shields , DDS

Dentist • Cicero, IN

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Shields, DDS is a registered healthcare professional specializing in Dentist in Cicero, IN. Practice services are available at 411 N PERU ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 N Peru St

Cicero, IN 460349498

Telephone 3179843531
Fax 3179848086
Associated Practice Facility / Clinic
🏢 Cicero Family Dental Llc Facility NPI 1912424672

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cicero, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Cicero, IN (1682 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12007382

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100125360A (IN)
Commercial Insurance / Payer ID Dental Benefit Providers
20193 (IN)
Commercial Insurance / Payer ID United Concordia Insuranc
779092 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Douglas Hartley , DDS

Dentist - General Practice

NPI 1023379443

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2017

Registered at 411 N PERU ST, CICERO, IN 460349498 (Tel: 3179843531)

📍
Updated Business Mailing Address February 27, 2017

Registered at 411 N PERU ST, CICERO, IN 460349498 (Tel: 3179843531)

👤
Provider Name / Credentials Updated February 27, 2017

Recorded as STEPHEN SHIELDS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Dentist (License #12007382 in IN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 411 N PERU ST, CICERO, IN 460349498 (Tel: 3179843531)

📍
Updated Business Mailing Address July 08, 2007

Registered at 411 N PERU ST, CICERO, IN 460349498 (Tel: 3179843531)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN SHIELDS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12007382 in IN)

🟢
Initial NPI Registration & Enumeration June 07, 2006

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: 1063452274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: February 27, 2017
Sole Proprietor: Yes

Mailing Address

411 N Peru St

Cicero, IN 460349498

Phone: 3179843531

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.