Emily Anne Shackelton, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8244 Issued in WA

Practice address

7337 35TH Ave NE
Seattle, WA 98115

Phone

(206) 525-9110

Fax

(206) 525-0955

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Emily a Shackelton, DDS,PS

  • Dentist
  • Seattle, WA
  • NPI 1528926508
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1457572455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-525-9110",
            "fax_number": "206-525-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-525-9110",
            "fax_number": "206-525-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELTON",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE8244",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051818",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ari Sezto, ARNP
• Lisa L Sferra, MD
• Kami Sarah Shabaz, RN
• Jane E Shackelford, PHARMACY TECHNICIAN
• Nordia Shackelford, LICSW
• Erika A Sherman Shackleford, CDPT
• Sophia Shaddy, M.D.
• Erin D. Shade, PA-C
• Lauren Eileen Shade
• Christina Phyllis Shadle

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.