Nancy Shen

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

35427 Issued in TX

Practice address

3555 Sunset Office Dr Ste 210
Saint Louis, MO 63127-1021

Phone

(314) 822-2764

NPI assigned

Feb 16, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• E. Brown, DDS, C. Hollander, DDS, M. Fernandez, DDS, D. Autry, DMD LLC

  • Pediatric Dentistry
  • Saint Louis, MO
  • NPI 1730544818
  NPD (past)
• WM. Gerald Albrecht, DDS PC

  • Pediatric Dentistry
  • Saint Louis, MO
  • NPI 1811070469
  NPD (past)
• Care for Kids Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Kingwood, TX
  • NPI 1548713688
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1629517180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 EASTEX FWY STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271021",
            "telephone_number": "314-822-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24510 Eastex Fwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392698",
            "country_code": "US",
            "telephone_number": "281-608-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEN",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "35427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.stldentistforkids.com/",
            "affiliation": "N",
            "address_1": "3555 Sunset Office Dr Ste 210",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631271021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Shelton
• Peyton Lee Shelton
• Rachel Shelton, PHARMD
• Kathryn Shemwell
• Anthony S Shen, MD
• Nancy Shen, MD
• Nicole Tsein Shen, M.D.
• Steven Robert Shen, MD
• Susan A Shen, NCUTE CARE NURSE APN
• Daniel Shenderov

• Pediatric Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.