Shelly Catlett, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8232 Issued in SC

Practice address

474 North St
Bamberg, SC 29003-1318

Phone

(803) 245-5545

NPI assigned

Jul 6, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

• Dr. Shelly Catlett Watts Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609217637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031318",
            "telephone_number": "803-245-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031318",
            "telephone_number": "803-245-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATLETT",
        "first_name": "SHELLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA CONTROLLED SUBSTANCES REGISTRATION #",
            "identifier": "30-08232",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8232",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@bambergdentistry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "474 North St",
            "city": "Bamberg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290031318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "WATTS",
            "middle_name": "CATLETT",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Brandon, OTR L
• William N Braswell, M.D.
• Joseph Lamar Brown
• Paul David Brown, PA-C
• Michael James Carr, PT
• Sarah Chapman-Howard, PHARMD
• Loralyn Sue Coker
• Patrick William Copeland Jr., RPH.
• Rebecca Corbett, RN
• Erica Davis

• All providers in Bamberg, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.