Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588096390 Individual Practitioner Male Practitioner

Dr. Kevin Jay Shively , DMD

Dentist • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Shively, DMD is a registered healthcare professional specializing in Dentist in Lubbock, TX. Practice services are available at 12219 QUAKER AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12219 Quaker Ave Ste A

Lubbock, TX 794247783

Telephone 8066988660
Fax 8063193878

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
64 Specialists

Practicing in Lubbock, TX (6851 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: 2021-03-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 34543

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.

Secondary Practice Locations

Unit 28038, Usa Dentac Bavaria

Apo, AE 09112

Phone: 011499622834738

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Richard Morgan , DDS

Dentist - General Practice

NPI 1053464776

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 17, 2021

Registered at 12219 QUAKER AVE STE A, LUBBOCK, TX 794247783 (Tel: 8066988660)

📍
Updated Business Mailing Address March 17, 2021

Registered at 12219 QUAKER AVE STE A, LUBBOCK, TX 794247783 (Tel: 8066988660)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2021

Dentist (License #34543 in TX)

NPI Profile Active July 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2014

Registered at UNIT 28038, USA DENTAC BAVARIA, APO, AE 09112 (Tel: 011499622834738)

📍
Updated Business Mailing Address July 24, 2014

Registered at UNIT 28038, APO, AE 09112 (Tel: 011499622834738)

👤
Provider Name / Credentials Updated July 24, 2014

Recorded as KEVIN SHIVELY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2014

Dentist (License #9309 in KY)

🟢
Initial NPI Registration & Enumeration August 02, 2013

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: 1588096390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2013
Last Update: March 17, 2021
Sole Proprietor: No

Mailing Address

12219 Quaker Ave Ste A

Lubbock, TX 794247783

Phone: 8066988660

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.