P Praxis·MD
● Active Type 1 · Individual

DR. Ron D Sheppard, DDS

Dentist·Idaho Falls, ID· NPI 1063560175 · Enumerated 2007 · 19 years on NPI
Sheppard is 1 of 86 dentist providers in Idaho Falls and 1 of 1099 in Idaho.
NPI age
19 years
Enumerated 2007-01-08
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1099 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
2300 E 17th St
Idaho Falls, ID 834046504
📞 2085258383fax 2085236419
Mailing address
Po Box 2046
Idaho Falls, ID 834032046
📞 2085258383fax 2085236419

Specialties

  • Dentist Primary
    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.
    ID license #D-1542 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 16 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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