Active NPI
Andrew Shelby
- Periodontics
- Lawrence, KS
National Provider Identifier
1003357146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 61599
- Practice address
- 4505 W 6TH St Ste B
Lawrence, KS 66049-4895 - Phone
- (785) 841-1188
- NPI assigned
- Mar 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 61599 | KS | Primary |
Addresses
Primary practice location
4505 W 6TH St Ste B
Lawrence, KS 66049-4895
Mailing address
4505 W 6TH St Ste B
Lawrence, KS 66049-4895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61599 | KS | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby'S Dental LLC | Periodontics | Current | Accepting new patients |
Locations
4505 W 6th St
Ste B
Lawrence, KS 66049
Phone (785) 841-1188
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Lawrence, KS
- NPI 1992640965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1003357146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 W 6TH ST STE B",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 W 6TH ST STE B",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494895",
"telephone_number": "785-841-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-08",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "KS",
"license": "61599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.