Individual provider Active NPI

Shelby Ostrander, DDS

  • Dentist
  • Wyoming, MI
National Provider Identifier
1508785593
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901603215 Issued in MI
Practice address
900 52ND St SW
Wyoming, MI 49509-9725
Phone
(616) 779-8248
NPI assigned
Jul 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901603215 MI Primary

Addresses

Primary practice location

900 52ND St SW
Wyoming, MI 49509-9725

Mailing address

430 Somerset Dr NE
Grand Rapids, MI 49503-3900

Other practice location 1

2565 Forest Hill Ave SE Ste 200
Grand Rapids, MI 49546-7954
Phone (616) 207-2218

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

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508785593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SOMERSET DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 52ND ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099725",
            "telephone_number": "616-779-8248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2565 Forest Hill Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467954",
            "country_code": "US",
            "telephone_number": "616-207-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "SHELBY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901603215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.