DR. JAMES M. SHADDOCK III DDS
NPI 1568584142
Dentist - General Practice in Greeley, CO

Q: What is James Shaddock's NPI number?

The NPI number for James Shaddock is 1568584142. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is James Shaddock'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 James Shaddock was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 04, 2007

516 N. BRISBANE AVE, GREELEY, CO 80634(970) 356-2605 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. James M. Shaddock Iii Dds NPPES

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

DR. JAMES M. SHADDOCK III DDS (NPI 1568584142) is an individual general practice provider in Greeley, Colorado, licensed in Colorado (430) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1568584142

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAMES M. SHADDOCK IIICredential: DDS

Location Address516 N. BRISBANE AVEGreeley, CO 80634

Mailing Address516 N. Brisbane Ave.Greeley, CO 80634 · (970) 302-7508

Phone(970) 356-2605

Sole ProprietorNo

Enumeration DateApril 4, 2007

Last NPPES UpdateApril 23, 2014

✔ NPI 1568584142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 430

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.

516 N. BRISBANE AVE, Greeley, CO 80634

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Other Identifiers 1

Medicaid02043016CO

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 James Shaddock's NPI number?

The NPI number for James Shaddock is 1568584142. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is James Shaddock located?

James Shaddock practices at 516 N. Brisbane Ave, Greeley, CO 80634. The listed phone number is (970) 356-2605.

What is James Shaddock'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 James Shaddock was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.