TRAVIS SHORE DMD
NPI 1891313300
Dentist - General Practice in Sierra Vista, AZ

Active since July 10, 2020
1993 FRONTAGE RD STE 208, SIERRA VISTA, AZ 85635(520) 458-4646 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, Jul 10, 2020 (2 updates tracked since 2020).

About Travis Shore Dmd NPPES

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

TRAVIS SHORE DMD (NPI 1891313300) is an individual general practice provider in Sierra Vista, Arizona, licensed in Arizona (D010774) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1891313300
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTRAVIS SHORECredential: DMD
Location Address1993 FRONTAGE RD STE 208Sierra Vista, AZ 85635-4695
Mailing Address1137 Sentinel Peak RdSierra Vista, AZ 85635-1496 · (509) 844-5518
Sole ProprietorNo
Enumeration DateJuly 10, 2020
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
NPI 1891313300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in AZ · D010774 Licensed in AZ · PD0023
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.
1993 FRONTAGE RD STE 208, Sierra Vista, AZ 85635

Accepted Insurance

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 Travis Shore's NPI number?

The NPI number for Travis Shore is 1891313300. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Travis Shore located?

Travis Shore practices at 1993 Frontage Rd Ste 208, Sierra Vista, AZ 85635. The listed phone number is (520) 458-4646.

What is Travis Shore's specialty?

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

What insurance does Travis Shore accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Delta Dental of Arizona, Florida Combined Life and Humana and 2 other insurers list Travis Shore 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 Travis Shore was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.