Jeremiah Raymond Shelton, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3712 Issued in WV

Practice address

1513 Harrison Ave Ste B5
Elkins, WV 26241-3356

Phone

(304) 637-9899

Fax

(304) 637-0555

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1588676605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE STE B5",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-637-9899",
            "fax_number": "304-637-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE STE B5",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-637-9899",
            "fax_number": "304-637-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JEREMIAH",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037470",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Shay, PHARMD, RPH
• Nikki Shay
• Destiny Shears
• Tyler Shears
• Elizabeth A Shelton, LPC
• Ora Shepherd
• Allison Leigh Shepp, PHARM D
• Kimberly Shifflett
• Lindsey Shifflett
• Angela Shiflett

• General Practice Dentistry in Elkins, WV
• Providers in Elkins, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.