Shelby Ann Nugent, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10495 Issued in SC

Practice address

119 Pavilion Dr
Little River, SC 29566-9141

Phone

(843) 663-8385

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1073297685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PAVILION DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669141",
            "telephone_number": "843-663-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PAVILION DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669141",
            "telephone_number": "843-663-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Murphy, FNP-C
• Jonathan Nateghi-Asli, CMT
• Jessica Ann Norris, NP
• Laura Mary Norton, PH.D.
• Sarah Jane Novis, M.D.
• David Anthony Nunez, MD
• Kevin Charles Oconnell
• Susan Maurine Olmschenk, OTR/L
• Optimum Home Health Services
• Optimum Mental Health LLC

• General Practice Dentistry in Little River, SC
• Providers in Little River, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.