Organization Active NPI

Dean H. Sheller D.D.S., PC

  • General Practice Dentistry
  • Waverly, IA
National Provider Identifier
1184747578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5862 Issued in IA
Legal business name
DEAN H. SHELLER D.D.S., PC
Practice address
201 20TH St NW
Waverly, IA 50677-2017
Phone
(301) 352-5281
Fax
(319) 352-0097
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean Howard Sheller, D.D.S.
Title
Owner
Phone
(319) 352-5281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5862 IA Primary

Addresses

Primary practice location

201 20TH St NW
Waverly, IA 50677-2017

Mailing address

201 20TH St NW
Waverly, IA 50677-2017
Phone (301) 352-5281

National Provider Directory

National Provider Directory

Locations

201 20th St NW
Waverly, IA 50677
Phone (301) 352-5281

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184747578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 20TH ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772017",
            "telephone_number": "301-352-5281",
            "fax_number": "319-352-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 20TH ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772017",
            "telephone_number": "301-352-5281",
            "fax_number": "319-352-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN H. SHELLER D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELLER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-352-5281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.