Shelby Kirts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013833A Issued in IN

Practice address

2623 W Jackson St
Muncie, IN 47303-4634

Phone

(765) 413-6714

NPI assigned

Jul 12, 2022

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 names 1

• Shelby Cummings Former name

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1063146397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034634",
            "telephone_number": "765-413-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034634",
            "telephone_number": "765-413-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTS",
        "first_name": "SHELBY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013833A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "CUMMINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kingdom Kare
• Kingdom Wellness Counseling and Mentoring Center
• Rosemary L Kirby, OTR
• Charles Kirk Sr.
• Dafina Kirk
• Lauren C Kisan, PA
• Robyn Kittrell, PHD HSPP
• Coresa Klein, CCP
• Jessica Knapp, NP
• Lorien Knapp, NP

• General Practice Dentistry in Muncie, IN
• Providers in Muncie, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.