Shelia Bryson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026532 Issued in IL

Practice address

5899 N. Belt West
Belleville, IL 62223-2162

Phone

(618) 222-8887

NPI assigned

Jan 25, 2007

Last updated

Jan 13, 2010By the provider in NPPES

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

Other names 1

• Mrs. Shelia Farr Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Day Family Dental LLC

  • Dentist
  • Belleville, IL
  • NPI 1013288703
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1740336684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 N. BELT WEST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622232162",
            "telephone_number": "618-222-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 N. BELT WEST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622232162",
            "telephone_number": "618-222-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "SHELIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELIA",
            "last_name": "FARR",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Lynn Bruce, MS CCC-SLP
• Matthew James Bruening, CRNA
• Amy Bruggemann, FNP
• Rachel Brunnworth
• Kyle Brunsmann, MSR, LMT
• Christopher Kenneth Buchheit, PHARM D
• Lucas Kyle Buckley, MD
• Yaimet Vidal Bucknor, MD
• Bradley Joseph Budde, MD
• Mary Buehler

• General Practice Dentistry in Belleville, IL
• Providers in Belleville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.