NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Shane Mark Douglas, D.D.S.

Dentist in Rocklin, CA · enumerated 2012 · practices at Douglas and Kloss Dental.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902169774

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Shane Mark Douglas
Credential D.D.S.
Sex Male
Practice address 3700 Atherton Rd, Rocklin, CA, 95765
Phone (916) 626-4050
Enumeration date Jun 18, 2012
Last updated in NPPES Dec 2, 2013

Taxonomy & licenses

122300000X Dentist Dental Providers · License 61439 (CA) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shane Douglas?
The National Provider Identifier (NPI) for Shane Douglas is 1902169774, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shane Douglas practice?
The practice location on file with NPPES is in Rocklin, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-02.