Benjamin Shettell, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A106932 Issued in CA

Legal business name

BENJAMIN SHETTELL, MD

Practice address

2632 Edith Ave Ste B
Redding, CA 96001-3031

Phone

(530) 242-1227

Fax

(530) 242-6078

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Amanda Kaye Harris

Title

Office Manager

Phone

(530) 242-1227

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Shettell, M.D.

  • Family Medicine Physician
  • Redding, CA
  • NPI 1174714687
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1689944530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 EDITH AVE STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013031",
            "telephone_number": "530-242-1227",
            "fax_number": "530-242-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 EDITH AVE STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013031",
            "telephone_number": "530-242-1227",
            "fax_number": "530-242-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN SHETTELL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-242-1227"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A106932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN NUMBER",
            "identifier": "5774539",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DX169A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Adam Bellingan
• Wade C Bellinger, MHCW
• Debbie L Belt
• Beltone Hearing Aid Center
• Stephanie Beltran-Padilla, PA-C
• Christina Ann Bennett-Horne
• Carl Evan Bennett, NP
• Laurel Bennett, FNP-C
• Shelly Bennett, MS
• Maria Bennetto, PHARMD

• General Practice Physician in Redding, CA
• Providers in Redding, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.