Active NPI
Shelley Lynn Dale
- Massage Therapist
- Denton, TX
National Provider Identifier
1477083327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT122627
- Practice address
- 525 S. Carroll Blvd Ste 202
Denton, TX 76201-7620 - Phone
- (972) 251-3945
- Fax
- (972) 251-3945
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT122627 | TX | Primary |
Addresses
Primary practice location
525 S. Carroll Blvd Ste 202
Denton, TX 76201-7620
Mailing address
525 S Carroll Blvd Ste 202
Denton, TX 76201-7416
Phone (972) 251-3945
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT122627 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1477083327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 S CARROLL BLVD STE 202",
"city": "DENTON",
"state": "TX",
"postal_code": "762017416",
"telephone_number": "972-251-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S. CARROLL BLVD STE 202",
"city": "DENTON",
"state": "TX",
"postal_code": "762017620",
"telephone_number": "972-251-3945",
"fax_number": "972-251-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "SHELLEY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT122627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.