Carol Shelton, DMD RDH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7946 Issued in OR

Practice address

82911 Beach Access Rd. (Two Rivers Correctional Inst.)
Umatilla, OR 97882

Phone

(541) 922-6032

Fax

(541) 922-6008

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1003985482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82911 BEACH ACCESS RD",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978829419",
            "telephone_number": "541-922-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82911 BEACH ACCESS RD. (TWO RIVERS CORRECTIONAL INST.)",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "97882",
            "telephone_number": "541-922-6032",
            "fax_number": "541-922-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "CAROL",
        "credential": "DMD RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247952",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shandon Ray Sanders - Johnson
• Guadalupe Sanguino
• Tristen Sanguino
• Karen Seaton
• Donna Sharp Picthall
• Angel Simpson
• Jolene Smith
• Sharon Marie Smith, RN, BSN
• Pamela Renee Stonecypher, L.P.C., L.M.H.C.
• Bridgett J Sullivan

• General Practice Dentistry in Umatilla, OR
• Providers in Umatilla, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.