Individual provider Active NPI

Shelby Rohr, DDS

  • General Practice Dentistry
  • New London, OH
National Provider Identifier
1225527732
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025390 Issued in OH
Practice address
63 E Main St
New London, OH 44851-1233
Phone
(419) 929-1544
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025390 OH
General Practice Dentistry 1223G0001X 30.025390 OH Primary

Addresses

Primary practice location

63 E Main St
New London, OH 44851-1233

Mailing address

286 State Route 511
Nova, OH 44859-9707
Phone (419) 606-7481

Other practice location 1

600 W 3rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307001146 OH Order and Referring Only - DentistPractitioner - Dentist 4880933951

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Ohio State University College of Dentistry, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 W 3Rd St
Mansfield, OH 44906-2633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025390OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Third Street Community Clinic, Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1225527732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 STATE ROUTE 511",
            "city": "NOVA",
            "state": "OH",
            "postal_code": "448599707",
            "telephone_number": "419-606-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511233",
            "telephone_number": "419-929-1544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449062633",
            "country_code": "US",
            "telephone_number": "419-522-6191",
            "fax_number": "419-525-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHR",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025390",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, OH

Sources for this page

Verify at the official NPI Registry.