Organization Active NPI

Shelly Guo DDS PA

  • Dentist
  • Smithfield, NC
National Provider Identifier
1235047374
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHELLY GUO DDS PA
Practice address
121 Kellie Dr
Smithfield, NC 27577-9443
Phone
(919) 934-3636
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Shelly Guo, DDSNPI 1023903135
Title
President
Phone
(919) 274-5173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

121 Kellie Dr
Smithfield, NC 27577-9443

Mailing address

620 Pasture Ridge Rd
Raleigh, NC 27603-5384

National Provider Directory

National Provider Directory

Locations

121 Kellie Dr
Smithfield, NC 27577

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1235047374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PASTURE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 KELLIE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779443",
            "telephone_number": "919-934-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY GUO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-274-5173",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.