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DR. CASEY RUSSELL SHEPHERD DMD MD
NPI 1720305741
Oral & Maxillofacial Surgery in Kalispell, MT

Active since April 30, 2010Opted out of Medicare · through Jun 28, 2028
180 TIMBERWOLF PKWY, KALISPELL, MT 59901(406) 755-6014(406) 755-6094 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2021, Sep 9, 2020 (2 updates tracked since 2020).

About Dr. Casey Russell Shepherd Dmd Md NPPES

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

DR. CASEY RUSSELL SHEPHERD DMD MD (NPI 1720305741) is an individual oral & maxillofacial surgery provider in Kalispell, Montana, licensed in Montana (11502) and active in the NPI registry since April 2010. He has opted out of Medicare through June 28, 2028.

NPPES Registry Identity

NPI1720305741
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. CASEY RUSSELL SHEPHERDCredential: DMD MD
Location Address180 TIMBERWOLF PKWYKalispell, MT 59901-1218
Mailing Address180 Timberwolf PkwyKalispell, MT 59901-1218 · (406) 755-6014 · Fax (406) 755-6094
Phone(406) 755-6014
Fax(406) 755-6094
Sole ProprietorNo
Enumeration DateApril 30, 2010
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1720305741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MT · 11502
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 11502 (MT)
180 TIMBERWOLF PKWY, Kalispell, MT 59901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Casey Russell Shepherd Dmd Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 28, 2016 through June 28, 2028.

Opt-Out Effective DateJune 28, 2016
Opt-Out In Effect ThroughJune 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA BLANTON-DICKENS DMD
Oral & Maxillofacial Surgery
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Flathead County (831) 801-1587
DAVID M WEBER DDS MD PC
Dentist (Oral and Maxillofacial Surgery)
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Flathead County (406) 755-6014
DAVID M WEBER DDS MD PC
Dentist (Oral and Maxillofacial Surgery)
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Flathead County (406) 755-6014
KALISPELL ORAL SURGERY CENTER LLC
Oral & Maxillofacial Surgery
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Flathead County (406) 755-6014
DAVID M WEBER DDS MD
Dentist (Oral and Maxillofacial Surgery)
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Flathead County (406) 755-6014

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 Casey Shepherd's NPI number?

The NPI number for Casey Shepherd is 1720305741. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Casey Shepherd located?

Casey Shepherd practices at 180 Timberwolf Pkwy, Kalispell, MT 59901. The listed phone number is (406) 755-6014.

What is Casey Shepherd's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Casey Shepherd enrolled in Medicare?

No. Casey Shepherd has opted out of Medicare through June 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Casey Shepherd was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.