DR. T. R. SHIVELY DDS
NPI 1376626739
Dentist - General Practice in Spencer, IA

Active since October 21, 2006
1206 2ND AVE E, SPENCER, IA 51301(712) 262-1055 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. T. R. Shively Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. T. R. SHIVELY DDS (NPI 1376626739) is an individual general practice provider in Spencer, Iowa, licensed in Iowa (05797) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1376626739
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. T. R. SHIVELYCredential: DDS
Location Address1206 2ND AVE ESpencer, IA 51301-4424
Mailing Address1206 2nd Ave ESpencer, IA 51301-4424 · (712) 262-1055
Sole ProprietorYes
Enumeration DateOctober 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376626739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 05797
Definition

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.

1206 2ND AVE E, Spencer, IA 51301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is T. Shively's NPI number?

The NPI number for T. Shively is 1376626739. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is T. Shively located?

T. Shively practices at 1206 2nd Ave E, Spencer, IA 51301. The listed phone number is (712) 262-1055.

What is T. Shively's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for T. Shively was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.