Geoffery D Shultz, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15500 Issued in MD

Practice address

201 North St
Elkton, MD 21921-5512

Phone

(410) 398-0250

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Paul B. Lavine, D.D.S. P.a.

  • General Practice Dentistry
  • Elkton, MD
  • NPI 1538574157
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1255747259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NORTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215512",
            "telephone_number": "410-398-0250",
            "fax_number": "410-398-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215512",
            "telephone_number": "410-398-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "GEOFFERY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jean Shilts, O.D.
• Amy Lynn Shives, LCSW-C
• Kira Marie Shollenberger, OTR/L
• Shorehaven, Inc.
• Shorehaven, Inc.
• Manpreet K Sidhu, M.D.
• Sightrite Medical MD LLC
• Nathan Silvera, PA-C
• Simon Innovative Solutions
• Sinai Hospital of Baltimore, Inc.

• General Practice Dentistry in Elkton, MD
• Providers in Elkton, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.