Jeff Thomas Shell, D D S

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

20212 Issued in TX

Practice address

4201 Bee Caves Rd
C 104
Austin, TX 78746-6465

Phone

(512) 330-9016

Fax

(512) 330-9962

NPI assigned

Nov 13, 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

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Westlake Endodontics PA

  • Dentist
  • Austin, TX
  • NPI 1154432821
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376615823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "address_2": "C 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-330-9016",
            "fax_number": "512-330-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD",
            "address_2": "C 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-330-9016",
            "fax_number": "512-330-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "JEFF",
        "middle_name": "THOMAS",
        "credential": "D D S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "20212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Shelby
• Susan A Shelby
• Richard C Shelden, CRNA
• Sheldon L. Markowitz, M.D. PA
• Kathryn A Shelhamer
• Michou Tran Shell, DDS
• Franklin Shellenbarger, FNP-C
• Valeria Arce Shellenberger, PA-C
• Shelley Madsen & Associates, Inc.
• Breanne Shelley, MA, LBA

• Endodontics in Austin, TX
• Providers in Austin, TX by specialty
• Endodontics in Texas

• 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.