Individual provider Active NPI

Julie R. Shedlosky, D.M.D.

  • Dentist
  • Camp Hill, PA
National Provider Identifier
1013129477
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 021941 L Issued in PA
Practice address
3461 Market St
Suite 304
Camp Hill, PA 17011-4412
Phone
(717) 737-9411
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 021941 L PA Primary

Addresses

Primary practice location

3461 Market St
Suite 304
Camp Hill, PA 17011-4412

Mailing address

318 N 26TH St
Camp Hill, PA 17011-3619
Phone (717) 737-8179

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

LicenseStateTypeSpecialty
DS 021941 LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1013129477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N 26TH ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170113619",
            "telephone_number": "717-737-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 MARKET ST",
            "address_2": "SUITE 304",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114412",
            "telephone_number": "717-737-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDLOSKY",
        "first_name": "JULIE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 021941 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.