Organization Active NPI

Frank W. Shelton, Jr.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1164693750
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3307 Issued in NC
Legal business name
FRANK W. SHELTON, JR.
Practice address
411 Andrews Rd
Unit #210
Durham, NC 27705-2993
Phone
(919) 383-6648
Fax
(919) 383-1133
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Frank Wesley Shelton Jr., DDS
Title
Owner
Phone
(919) 383-6648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3307 NC Primary

Addresses

Primary practice location

411 Andrews Rd
Unit #210
Durham, NC 27705-2993

Mailing address

411 Andrews Rd
Unit #210
Durham, NC 27705-2993
Phone (919) 383-6648

Other identifiers 1

IdentifierTypeStateIssuer
249821OtherNCAMERITAS

National Provider Directory

National Provider Directory

Locations

411 Andrews Rd
Ste 210
Durham, NC 27705
Phone (919) 383-6648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1164693750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ANDREWS RD",
            "address_2": "UNIT #210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052993",
            "telephone_number": "919-383-6648",
            "fax_number": "919-383-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ANDREWS RD",
            "address_2": "UNIT #210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052993",
            "telephone_number": "919-383-6648",
            "fax_number": "919-383-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK W. SHELTON, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-383-6648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERITAS",
            "identifier": "249821",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.