KEITH L SHEPPARD DDS
NPI 1497164008
Dentist - General Practice in Penn Valley, CA

Q: What is Keith Sheppard's NPI number?

The NPI number for Keith Sheppard is 1497164008. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Q: What is Keith Sheppard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Sheppard was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2014PECOS Enrolled

11300 PLEASANT VALLEY RD, PENN VALLEY, CA 95946(530) 432-1543(530) 432-1543 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 17, 2018, Jan 9, 2018 (2 updates tracked since 2018).

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About Keith L Sheppard Dds NPPES

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

KEITH L SHEPPARD DDS (NPI 1497164008) is an individual general practice provider in Penn Valley, California, licensed in California (63827) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sonora.

NPPES Registry Identity

NPI1497164008

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKEITH L SHEPPARDCredential: DDS

Location Address11300 PLEASANT VALLEY RDPenn Valley, CA 95946-9026

Mailing Address11300 Pleasant Valley RdPenn Valley, CA 95946-9026 · (530) 432-1543

Phone(530) 432-1543

Fax(530) 432-1543

Sole ProprietorNo

Enumeration DateAugust 7, 2014

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1497164008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 63827

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.

11300 PLEASANT VALLEY RD, Penn Valley, CA 95946

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Secondary Practice Location 1

Location 113945 Mono WaySonora, CA 95370-2823 · Phone (209) 533-9630

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith L Sheppard Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95946 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Keith Sheppard's NPI number?

The NPI number for Keith Sheppard is 1497164008. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Keith Sheppard located?

Keith Sheppard practices at 11300 Pleasant Valley Rd, Penn Valley, CA 95946. The listed phone number is (530) 432-1543.

What is Keith Sheppard's specialty?

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

Is Keith Sheppard enrolled in Medicare?

Yes. Keith Sheppard is registered in the Medicare PECOS enrollment system.

What insurance does Keith Sheppard accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Keith Sheppard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Sheppard was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.