Eric N Shelly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026750L Issued in PA

Practice address

403 N 5 Points Rd
West Chester, PA 19380-4632

Phone

(610) 696-3371

Fax

(610) 696-5058

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Eric Shelly, DMD & Margaret Lee DMD

  • General Practice Dentistry
  • West Chester, PA
  • NPI 1215018130
  NPD (past) Authorized official
• West Chester Dental Arts, LLC

  • General Practice Dentistry
  • West Chester, PA
  • NPI 1548425606
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306927207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N 5 POINTS RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804632",
            "telephone_number": "610-696-3371",
            "fax_number": "610-696-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N 5 POINTS RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804632",
            "telephone_number": "610-696-3371",
            "fax_number": "610-696-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "ERIC",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026750L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "463481",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley A Sheehan
• Hannah Sheehan
• Margaret Jean Sheehan, L.AC., DPL ACU &HERB
• Amber Sheesley
• Sheldon Lebovitz D. and Associates
• Cassandra Shelpman, OTR/L
• Linda Mae Shepherd, NURSE PRACTITIONER
• Kathy Sheridan, OTR/L
• Bernadette Mary Sherman, MSCCC-SP
• Brittany Sherman

• General Practice Dentistry in West Chester, PA
• Providers in West Chester, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.