Doctor profile · Federal record
Dr. Kevin Shively, DMD
Dentist · Lubbock, TX
- NPI 1588096390
- 13 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12219 Quaker Ave Ste A
Lubbock, TX 794247783
(806) 698-8660
fax (806) 319-3878 - Additional location
-
Unit 28038, USA Dentac Bavaria
Apo, AE 09112
011499622834738
Credentials & registration
- NPI registered
- August 2013 — 13 yrs on file
- Profile last updated
- March 17, 2021
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Texas #34543
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588096390. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$233
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 1 | $150.00 | |
| Ultradent Products INC | 3 | $83.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
21
Patients
18
Total drug cost
$69
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 21 | 18 | $69 |
Frequently asked questions
What is Dr. Kevin Shively's medical specialty?
Dr. Kevin Shively practices Dentist in Lubbock, TX.
Where does Dr. Kevin Shively practice?
Dr. Kevin Shively practices at 12219 Quaker Ave Ste A, Lubbock, TX 794247783. Office phone: 8066988660.
What is Dr. Kevin Shively's NPI?
Dr. Kevin Shively's National Provider Identifier (NPI) is 1588096390, issued by NPPES.