Kyra Jordan Shock, DDS
NPI 1578357372ActiveIndividual· Dentist· Norman, OK
Dentist (DDS) in Norman, Oklahoma, licensed in VT, CT, NC and WI and other states, with an NPI issued in April 2025.
Overview
| NPI | 1578357372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Apr 7, 2025 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 016.0134368 | VT |
| Dentist | 122300000X | 14459 | CT |
| Dentist | 122300000X | 14377 | NC |
| Dentist | 122300000X | 6001990-15 | WI |
| Dentist | 122300000X | 18769 | MD |
| Dentist | 122300000X | 10000721 | MA |
| Dentist | 122300000X | 0401419518 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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