Active NPI
Shelbie Nicole Benton, RDH
- Dental Hygienist
- Columbia, SC
National Provider Identifier
1366891038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3860
- Practice address
- 4323 Hill St.
USA Dentac-
Columbia, SC 29207 - Phone
- (803) 751-6209
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3860 | SC | Primary |
Addresses
Primary practice location
4323 Hill St.
USA Dentac-
Columbia, SC 29207
Mailing address
4323 Hill St.
USA Dentac-
Columbia, SC 29207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1366891038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 HILL ST.",
"address_2": "USA DENTAC-",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 HILL ST.",
"address_2": "USA DENTAC-",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29207",
"telephone_number": "803-751-6209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "SHELBIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "3860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.