P Praxis·MD
● Active Type 1 · Individual

Evan Shipp

Dentist·Jbsa Lackland, TX· NPI 1023378999 · Enumerated 2012 · 14 years on NPI
Shipp is 1 of 8 dentist providers in Jbsa Lackland and 1 of 935 in Texas.
NPI age
14 years
Enumerated 2012-05-24
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-07-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 935 active dentist providers in Texas.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 5126215529
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2109160332

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    TX license #35986 taxonomy 1223S0112X
  • Dentist
    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.
    CA license #61852 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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