Shane M. Wellington DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHANE M. WELLINGTON DMD LLC

Doing business as

River Valley Dental

Practice address

1609 Pennsylvania Ave
East Liverpool, OH 43920-2146

Phone

(330) 385-1352

Fax

(330) 385-7407

NPI assigned

Aug 30, 2023

Last updated

Aug 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shane Matthew Wellington, DMDNPI 1295794667

Title

Dentist/Owner

Phone

(330) 385-1352

Specialties & licenses 1

Addresses

Other names 1

• River Valley Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Matthew Wellington, DMD

  • General Practice Dentistry
  • East Liverpool, OH
  • NPI 1295794667
  NPD Authorized official

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1225813983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PENNSYLVANIA AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202146",
            "telephone_number": "330-385-1352",
            "fax_number": "330-385-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PENNSYLVANIA AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202146",
            "telephone_number": "330-385-1352",
            "fax_number": "330-385-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE M. WELLINGTON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "WELLINGTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "330-385-1352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aline Scott
• Second Chances CM, LLC (Second Chances)
• Selfridge Leasing, LLC (Valley Oaks Care Center)
• Ntasha Sethi, DMD, MDS, BDS
• James A Shaer, MD
• Shared Medical Imaging, Inc (River Valley Diagnostics)
• Shivangi Udayan Sharma, M.D.
• Frances Shaw
• Kaley M Shields, OTR/L
• Shining Reflections

• General Practice Dentistry in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.