Active NPI
Barbara Sheller, D.D.S., MS.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Seattle, WA
National Provider Identifier
1225179518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE00005618
- Practice address
- 4800 Sand Point Way NE
Mailstop CD
Seattle, WA 98105-3901 - Phone
- (206) 987-3754
- Fax
- (206) 987-3891
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00005618 | WA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE00005618 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
Mailstop CD
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
Mailstop CD
Seattle, WA 98105-3901
Phone (206) 987-3754
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5030259 | Medicaid | WA | |
| 0130026 | Medicaid | MT | |
| DD561WA | Medicaid | AK |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005618 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Interoperability endpoints
- bsheller2121@direct.seattlechildrens.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1225179518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "MAILSTOP CD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-3754",
"fax_number": "206-987-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "MAILSTOP CD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-3754",
"fax_number": "206-987-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLER",
"first_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "D.D.S., MS.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00005618",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE00005618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5030259",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130026",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DD561WA",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.