Organization Active NPI

Shelton & Associates DDS PA

  • General Practice Dentistry
  • Lenoir, NC
National Provider Identifier
1467623611
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3221 Issued in NC
Legal business name
SHELTON & ASSOCIATES DDS PA
Practice address
341 Harper Avenue
Lenoir, NC 28645
Phone
(828) 754-5244
Fax
(828) 758-9957
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Vader Shelton Sr., DDS
Title
Owner
Phone
(828) 754-5244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3221 NC Primary

Addresses

Primary practice location

341 Harper Avenue
Lenoir, NC 28645

Mailing address

341 Harper Avenue
Lenoir, NC 28645
Phone (828) 754-5244

National Provider Directory

National Provider Directory

Locations

341 Harper Ave SW
Lenoir, NC 28645
Phone (828) 754-5244

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1467623611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 HARPER AVENUE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-5244",
            "fax_number": "828-758-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 HARPER AVENUE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-5244",
            "fax_number": "828-758-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON & ASSOCIATES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "VADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-754-5244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.