Dexter Shoulders

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Practice address

175 Fairway Blvd
Columbus, OH 43213-2099

Phone

(216) 501-8200

NPI assigned

Feb 21, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1366248221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7488 SANCUS BLVD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854923",
            "telephone_number": "216-501-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FAIRWAY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132099",
            "telephone_number": "216-501-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULDERS",
        "first_name": "DEXTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda A Short, R.N.
• Christian Shorter
• Kevin J Shotsberger, CNP
• Robert Shott, M.D.
• Caitlin Shotwell
• Nichole L Shoulders, CPRS
• Gina Rae Shoults
• Damon C Shoultz
• Kristy Shoup
• Rylee Ann Shoup

• Ph.D. Medical Genetics in Columbus, OH
• Providers in Columbus, OH by specialty
• Ph.D. Medical Genetics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.