NPIMap

Organization Active NPI

Eric Shelly, DMD & Margaret Lee DMD

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1215018130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026750L Issued in PA
Legal business name
ERIC SHELLY, DMD & MARGARET LEE DMD
Practice address
403 N 5 Points Rd
West Chester, PA 19380-4632
Phone
(610) 696-3371
Fax
(610) 696-5058
NPI assigned
Oct 18, 2006
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
Eric N Shelly, DMDNPI 1306927207
Title
Owner
Phone
(610) 696-3371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS026750L PA Primary

Addresses

Primary practice location

403 N 5 Points Rd
West Chester, PA 19380-4632

Mailing address

403 N 5 Points Rd
West Chester, PA 19380-4632
Phone (610) 696-3371

Other identifiers 1

IdentifierTypeStateIssuer
692499OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

403 N 5 Points Rd
West Chester, PA 19380
Phone (610) 431-6676

Practitioners & affiliated clinicians

Practitioners 4

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215018130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N 5 POINTS RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804632",
            "telephone_number": "610-696-3371",
            "fax_number": "610-696-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 5 POINTS RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804632",
            "telephone_number": "610-696-3371",
            "fax_number": "610-696-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SHELLY, DMD & MARGARET LEE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-696-3371",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026750L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "692499",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

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.