Active NPI
John S Shelton, CPO
- Orthotist
- Wilmington, NC
National Provider Identifier
1760533491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 2800 Ashton Dr Ste 201
Wilmington, NC 28412-2486 - Phone
- (910) 218-2240
- Fax
- (910) 399-5523
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
2800 Ashton Dr Ste 201
Wilmington, NC 28412-2486
Mailing address
2800 Ashton Dr Ste 201
Wilmington, NC 28412-2486
Phone (910) 218-2240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0428P | Other | NC | BLUECROSSBLUESHIELDNC |
| 7705351 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelton Prosthetics and Orthotics | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1760533491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 ASHTON DR STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122486",
"telephone_number": "910-218-2240",
"fax_number": "910-399-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ASHTON DR STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122486",
"telephone_number": "910-218-2240",
"fax_number": "910-399-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "JOHN",
"middle_name": "S",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELDNC",
"identifier": "0428P",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705351",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.