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Deactivated NPI 1912976309 Deactivated / Inactive NPI Male Practitioner

Dr. Michael L Shepard , DDS

Dentist • Baxter Springs, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Shepard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 16, 2006
NPI Deactivation Date June 21, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Shepard, DDS was a registered Dentist practicing in Baxter Springs, KS. Throughout an active medical career spanning 17 years, Dr. Shepard provided care at the practice location at 2990 MILITARY AVE until profile deactivation on 2023-06-21.

Practice Location & Contact Primary Location

Practice Address

2990 Military Ave

Baxter Springs, KS 667132331

Telephone 6208562900
Fax 6208562901
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Baxter Springs, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Baxter Springs, KS (638 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 KS 4864

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.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Jeanna Keizer , RDH

Dental Hygienist

NPI 1083048342

Registered Dental Hygienist

Lydia Mccoy , RDH

Dental Hygienist

NPI 1194101568

Registered Dental Hygienist

Jamie Lundy

Dentist - General Practice

NPI 1205275559
Jenny Simpson , LMSW

Social Worker - Clinical

NPI 1265005029

Licensed Master Social Worker

Robert Mcelwee , LCMFT

Marriage & Family Therapist

NPI 1275950537
Dr. Saher Ahmed , DDS

Dentist - General Practice

NPI 1356775696

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 21, 2023

Record deactivated on June 21, 2023

NPI Profile Active February 08, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 08, 2012

Registered at 2990 MILITARY AVE, BAXTER SPRINGS, KS 667132331 (Tel: 6208562900)

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Updated Business Mailing Address February 08, 2012

Registered at 3011 N MICHIGAN ST, PITTSBURG, KS 667622546 (Tel: 6202319873)

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Provider Name / Credentials Updated February 08, 2012

Recorded as MICHAEL SHEPARD, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2012

Dentist (License #4864 in KS)

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Initial NPI Registration & Enumeration March 16, 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: 1912976309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2006
Last Update: February 08, 2012
Deactivation Date: June 21, 2023

Mailing Address

3011 N Michigan St

Pittsburg, KS 667622546

Phone: 6202319873

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.