Individual provider Active NPI

Shelby Colleen Byler, D.D.S.

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1629183009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6661 Issued in NE
Practice address
1530 S 70TH St
Suite 104
Lincoln, NE 68506-1567
Phone
(402) 488-8001
Fax
(402) 488-9371
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6661 NE Primary

Addresses

Primary practice location

1530 S 70TH St
Suite 104
Lincoln, NE 68506-1567

Mailing address

3133 S 31St St
Lincoln, NE 68502-5206
Phone (402) 435-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20170110000420 NE Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7315228327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6661NEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629183009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 S 31ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025206",
            "telephone_number": "402-435-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S 70TH ST",
            "address_2": "SUITE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061567",
            "telephone_number": "402-488-8001",
            "fax_number": "402-488-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLER",
        "first_name": "SHELBY",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.