Doctor profile · Federal record
Dr. Shane Douglas, D.D.S.
Dentist · Rocklin, CA
- NPI 1902169774
- 14 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3700 Atherton RD
Rocklin, CA 957653717
(916) 626-4050
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- December 2, 2013
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #61439
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902169774. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$935
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| A-Dec, INC. | 1 | $935.00 |
By nature of payment
Frequently asked questions
What is Dr. Shane Douglas's medical specialty?
Dr. Shane Douglas practices Dentist in Rocklin, CA.
Where does Dr. Shane Douglas practice?
Dr. Shane Douglas practices at 3700 Atherton RD, Rocklin, CA 957653717. Office phone: 9166264050.
What is Dr. Shane Douglas's NPI?
Dr. Shane Douglas's National Provider Identifier (NPI) is 1902169774, issued by NPPES.