Individual provider Active NPI

Chelsea C Shellhart, DDS

  • Pediatric Dentistry
  • Columbus, OH
National Provider Identifier
1164899688
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.026332 Issued in OH
Practice address
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone
(614) 722-5650
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026332 OH
Pediatric Dentistry 1223P0221X 30.026332 OH Primary

Addresses

Primary practice location

380 Butterfly Gardens Dr
Columbus, OH 43215-7508

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

760 Rosehill Rd
Reynoldsburg, OH 43068-1700
Phone (614) 722-5650

Other practice location 2

1200 Epworth Ave
Reynoldsburg, OH 43068-2116
Phone (614) 722-5650

Other practice location 3

6699 E Livingston Ave
Reynoldsburg, OH 43068-3688
Phone (614) 722-6200

Other practice location 4

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-5651

Other practice location 5

2300 Baldwin Pl
Reynoldsburg, OH 43068-3616
Phone (614) 722-5650

Other practice location 6

2900 Inspire Dr
Columbus, OH 43224-4620
Phone (614) 722-5650

Other identifiers 1

IdentifierTypeStateIssuer
0422910MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026332OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Community Health Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Sunrise Community Health Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1164899688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 BUTTERFLY GARDENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157508",
            "telephone_number": "614-722-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Rosehill Rd",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430681700",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Epworth Ave",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430682116",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6699 E Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430683688",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-5651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Baldwin Pl",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430683616",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Inspire Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432244620",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLHART",
        "first_name": "CHELSEA",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026332",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

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