Shelby H Vanvenrooy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6279 Issued in NC

Practice address

568 Ruin Creek Rd
Suite 007
Henderson, NC 27536-2880

Phone

(252) 431-1302

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1134319197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 007",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-431-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 007",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-431-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVENROOY",
        "first_name": "SHELBY",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vance Recovery, PC (Vance Recovery)
• Vance Recovery, PC (Vance Recovery)
• Vance Recovery, PC (Vance Recovery)
• Vance Recovery, PC (Vance Recovery)
• John Robert Vanvenrooy, DMD, MPH, PA
• Diane Stegall Varnadore, NURSE PRACTITIONER
• Crystal Venable
• Visions of Greatness, Inc
• Deanne Knick Vito, RPH
• Khanh Tuan Vu, M.D.

• General Practice Dentistry in Henderson, NC
• Providers in Henderson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.