Shelley D Shults, DDS, APRN-CNP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21403 Issued in OH

Practice address

39 Clairedan Drive
Powell, OH 43065

Phone

(614) 436-4433

Fax

(614) 436-6055

NPI assigned

Jan 2, 2007

Last updated

Oct 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powell Dental Group-Shelley D Shults DDS LLC

  • General Practice Dentistry
  • Powell, OH
  • NPI 1770637860
  NPD (past) Authorized official
• Powell Dental Sleep Solutions LLC

  • Customized Equipment (DME)
  • Powell, OH
  • NPI 1528526647
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1619034204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CLAIREDAN DRIVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-436-4433",
            "fax_number": "614-436-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CLAIREDAN DRIVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-436-4433",
            "fax_number": "614-436-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTS",
        "first_name": "SHELLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024180",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21403",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "OH",
            "license": "APRN.CNP.024180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fardowsa Omar Sheikh, PMHNP
• Theresa Sokol Shevetz, AUD
• Shoreline Radiology PLLC
• Shree Siddhivinayak Dental LLC
• Jasmine Shroff, M.S. OTR
• Maya Silva
• Donald C Simon, M.D.
• Smile Doctors of Ohio, Inc.
• Jennifer M Smith-Dudash
• Briggs Nicole Smith

• General Practice Dentistry in Powell, OH
• Providers in Powell, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.