Shelley Paige Shearer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7415 Issued in KY

Practice address

6909 Burlington Pike
Suite a
Florence, KY 41042-1618

Phone

(859) 647-7068

Fax

(859) 647-7038

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 22, 2018 through May 22, 2028

Medicare enrollment (NPD)

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.

• Shelley Shearer DMD PLLC

  • General Practice Dentistry
  • Florence, KY
  • NPI 1205012226
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578602124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 BURLINGTON PIKE",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-647-7068",
            "fax_number": "859-647-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 BURLINGTON PIKE",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421618",
            "telephone_number": "859-647-7068",
            "fax_number": "859-647-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "SHELLEY",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60074150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asha Sharma, M.D.
• Shattered 2 Restored
• Daniel Shaw, DC
• Clay M Shearer, MD
• David A Shearer, MD
• Mariah Sheeren, PHARMD
• Shelley Shearer DMD PLLC
• Alexis Sherrill, OTR/L
• Christina Shrader, MS, LPCC, LPC, NCC
• Katherine Shrock

• General Practice Dentistry in Florence, KY
• Providers in Florence, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.