Active NPI
Shelbi Elizabeth Young Brown, DMD
- Dentist
- Pensacola, FL
National Provider Identifier
1053936955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28554
- Practice address
- 5710 N Davis Hwy
Pensacola, FL 32503-2088 - Phone
- (850) 505-0500
- NPI assigned
- Jun 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28554 | FL | Primary |
| Dentist | 122300000X | 0401417319 | VA |
Addresses
Primary practice location
5710 N Davis Hwy
Pensacola, FL 32503-2088
Mailing address
9963 Pandion TRL
Pensacola, FL 32507-9233
Phone (336) 682-8474
Other practice location 1
12385 Sorrento Rd
Pensacola, FL 32507-8664
Phone (850) 492-7647
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 |
|---|---|---|---|
| DN28554 | FL | MD | Dentist |
| 0401417319 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Anesthesia Services, Llc331 | Past | Accepting new patients | |
| Katdel LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Sedation Dentistry
- Dental Clinic/Center
- Virginia Beach, VA
- NPI 1598043739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1053936955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9963 PANDION TRL",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325079233",
"telephone_number": "336-682-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032088",
"telephone_number": "850-505-0500"
}
],
"practiceLocations": [
{
"address_1": "12385 Sorrento Rd",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325078664",
"country_code": "US",
"telephone_number": "850-492-7647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "SHELBI",
"middle_name": "ELIZABETH YOUNG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28554",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401417319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.