Organization Active NPI

R M Shelton DMD PLLC

  • Dentist
  • Ashland, KY
National Provider Identifier
1366617938
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4239 Issued in KY
Legal business name
R M SHELTON DMD PLLC
Practice address
441 21St St
Ashland, KY 41101
Phone
(606) 329-1516
Fax
(606) 324-9512
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Ronnie M Shelton, DMDNPI 1568597946
Title
Dentist
Phone
(606) 329-1516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4239 KY Primary

Addresses

Primary practice location

441 21St St
Ashland, KY 41101

Mailing address

PO Box 2316
Ashland, KY 41105-2316
Phone (606) 329-1516

Other identifiers 1

IdentifierTypeStateIssuer
60042397MedicaidKY

National Provider Directory

National Provider Directory

Locations

441 21st St
Ashland, KY 41101
Phone (606) 329-1516

Practitioners & affiliated clinicians

Practitioners 2

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1366617938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2316",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052316",
            "telephone_number": "606-329-1516",
            "fax_number": "606-324-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-329-1516",
            "fax_number": "606-324-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R M SHELTON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "606-329-1516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "4239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60042397",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.