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DR. SHANE MARK DOUGLAS D.D.S.
NPI 1902169774
Dentist in Rocklin, CA

Active since June 18, 2012
3700 ATHERTON RD, ROCKLIN, CA 95765(916) 626-4050 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shane Mark Douglas D.d.s. NPPES

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

DR. SHANE MARK DOUGLAS D.D.S. (NPI 1902169774) is an individual dentist in Rocklin, California, licensed in California (61439) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1902169774
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHANE MARK DOUGLASCredential: D.D.S.
Location Address3700 ATHERTON RDRocklin, CA 95765-3717
Mailing Address3700 Atherton RdRocklin, CA 95765-3717 · (916) 626-4050
Phone(916) 626-4050
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateDecember 2, 2013
✔ NPI 1902169774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 61439
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3700 ATHERTON RD, Rocklin, CA 95765
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Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DOUGLAS AND KLOSS DENTAL
Dentist
3700 ATHERTON RD
ROCKLIN, CA 95765
Placer County (916) 626-4050
DR. BENJAMIN DEVERE KLOSS D.M.D.
Dentist
3700 ATHERTON RD
ROCKLIN, CA 95765
Placer County (916) 626-4050

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 Shane Douglas's NPI number?

The NPI number for Shane Douglas is 1902169774. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Shane Douglas located?

Shane Douglas practices at 3700 Atherton Rd, Rocklin, CA 95765. The listed phone number is (916) 626-4050.

What is Shane Douglas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Shane Douglas accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Shane Douglas 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 Shane Douglas was last updated on December 2, 2013. 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.