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

Active since April 30, 2010PECOS Enrolled
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: July 26, 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 is enrolled in Medicare PECOS and maintains a secondary practice location in Whitefish.

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
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

Secondary Practice Location 1

Location 1711 13th St E Ste 101Whitefish, MT 59937-2966 · Phone (406) 755-6014 · Fax (406) 755-6094

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Casey Russell Shepherd Dmd Md 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.

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.

Oral & Maxillofacial Surgery
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Dentist (Oral and Maxillofacial Surgery)
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Dentist (Oral and Maxillofacial Surgery)
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Oral & Maxillofacial Surgery
180 TIMBERWOLF PKWY
KALISPELL, MT 59901
Dentist (Oral and Maxillofacial Surgery)
180 TIMBERWOLF PKWY
KALISPELL, MT 59901

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?

Yes. Casey Shepherd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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