Individual provider Active NPI

Elizabeth G. Shelton, DDS

  • General Practice Dentistry
  • Beeville, TX
National Provider Identifier
1467657320
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9423 Issued in TX
Practice address
902 N Saint Marys St
Beeville, TX 78102-4048
Phone
(361) 358-3384
Fax
(361) 358-5199
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9423 TX Primary

Addresses

Primary practice location

902 N Saint Marys St
Beeville, TX 78102-4048

Mailing address

902 N Saint Marys St
Beeville, TX 78102-4048
Phone (361) 358-3384

Other identifiers 1

IdentifierTypeStateIssuer
143473004MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231213001518 TX Order and Referring Only - DentistPractitioner - Dentist 1951691021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9423TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Center for Dentistry PLLC General Practice CurrentSince Sep 10, 2010 Accepting new patients

Locations

902 N Saint Marys St
Beeville, TX 78102
Phone (361) 358-3384

902 N Saint Marys St
Ste C
Beeville, TX 78102

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1467657320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N SAINT MARYS ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781024048",
            "telephone_number": "361-358-3384",
            "fax_number": "361-358-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N SAINT MARYS ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781024048",
            "telephone_number": "361-358-3384",
            "fax_number": "361-358-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ELIZABETH",
        "middle_name": "G.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "9423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143473004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.