NPIMap

Organization Active NPI

Shelton R Penn DDS PC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1689966848
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN3483 Issued in DC
Legal business name
SHELTON R PENN DDS PC
Practice address
5 Barney Cir SE
Washington, DC 20003-3162
Phone
(202) 547-6119
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Shelton R Penn, DDSNPI 1538383740
Title
Dentist
Phone
(202) 547-6119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN3483 DC Primary

Addresses

Primary practice location

5 Barney Cir SE
Washington, DC 20003-3162

Mailing address

5 Barney Cir SE
Washington, DC 20003-3162

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1689966848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BARNEY CIR SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BARNEY CIR SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033162",
            "telephone_number": "202-547-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON R PENN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-547-6119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN3483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.