NPI age
12 years
Enumerated 2013-08-02
● Active
Type 1 · Individual
DR. Kevin Jay Shively JR., DMD
Shively is 1 of 70 dentist providers in Lubbock and 1 of 9237 in Texas.
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 9237 active dentist providers in Texas.
NPI age
12 years
≈ at median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-08Enumerated in NPPES
2013
2026
Where they practice
Practice location
12219 Quaker Ave Ste A
Lubbock, TX 794247783
Mailing address
12219 Quaker Ave Ste A
Lubbock, TX 794247783
Additional practice locations
1 secondary location on file with NPPES.
Location 2
Unit 28038, Usa Dentac Bavaria
Apo, AE 09112
Specialties
-
Dentist PrimaryA 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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