Andrea Chadwick Shelton, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12012911A Issued in IN

Practice address

1141 S. Green Street
Brownsburg, IN 46112

Phone

(317) 852-8113

NPI assigned

May 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ashelton251017@direct-prd.stelizabeth.com

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.

• Hendricks Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Brownsburg, IN
  • NPI 1265074710
  NPD Authorized official
• The Wickton Team, LLC

  • Pediatric Dentistry
  • Brownsburg, IN
  • NPI 1619602299
  NPD Authorized official

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1194160267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 S. GREEN STREET",
            "address_2": "HENDRICKS PEDIATRIC DENTISTRY",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461125109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 S. GREEN STREET",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "46112",
            "telephone_number": "317-852-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-944-3865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "526 IN-32",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "46074",
            "country_code": "US",
            "telephone_number": "317-896-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANDREA",
        "middle_name": "CHADWICK",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9311",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12012911A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Sharpe, RBT
• Paige Shattuck
• Aahkeem Shaw, RBT
• G. Lyman Shaw, D.C., F.A.C.O.
• Kristian Shaw, RBT
• Lexia Noelle Shelton
• Tiarra Shepherd
• Holly Duvall Sherry
• Malori Shields, RBT
• Elaine Noel Shimmons, DPT

• Pediatric Dentistry in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.