Shelbyville Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011144A Issued in IN

Legal business name

SHELBYVILLE FAMILY DENTAL

Practice address

122 Lee Boulevard
Shelbyville, IN 46176-3403

Phone

(317) 398-6399

Fax

(317) 398-6362

NPI assigned

Mar 23, 2012

Organization subpart

No

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

Authorized official

Name

Diane Scearce, DDS

Title

Dentist

Phone

(317) 398-6399

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1740556851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LEE BOULEVARD",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461763403",
            "telephone_number": "317-398-6399",
            "fax_number": "317-398-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LEE BOULEVARD",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461763403",
            "telephone_number": "317-398-6399",
            "fax_number": "317-398-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "SCEARCE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-398-6399",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011144A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Eastern Schools
• Shelby Management Corp
• Shelby Medical Center, Inc.
• Shelby Pain and Spine
• Shelbyville Central Schools
• Shelbyville Surgical Associates
• Robert G Shellman, M.D.
• Ashley Shirrell
• Alison Simo, MSN, RN
• Angela Patrice Sims

• General Practice Dentistry in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.