SD.Shelton Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DS4018 Issued in TN

Legal business name

SD.SHELTON FAMILY DENTISTRY

Practice address

1626 McArthur St
Manchester, TN 37355-2522

Phone

(931) 728-0313

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Peter Craigue Shelton, D.D.S.NPI 1639393572

Title

Partner

Phone

(931) 728-0313

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Peter Craigue Shelton, DDS

  • General Practice Dentistry
  • Manchester, TN
  • NPI 1639393572
  NPD (past) Authorized official
• John L Shelton, DDS

  • Dentist
  • Manchester, TN
  • NPI 1265695027
  NPD (past)
• Zachary Usher Shelton, D.D.S.

  • Dentist
  • Manchester, TN
  • NPI 1629206107
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1770943581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552522",
            "telephone_number": "931-728-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552522",
            "telephone_number": "931-728-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD.SHELTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CRAIGUE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "931-728-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Thomas Medical Partners (Ascension Medical Group Saint Thomas)
• Maria Dolores Salibay, MD
• Jason Sanders, ATC
• Michael H Schaller, DC
• Mark Alan Schmitz, D.O.
• Jennifer Keeley Sears, NP
• Dawn Selvage, FNP-C
• Seven Springs Orthopaedics and Sports Medicine
• Seven Springs Orthopaedics, PC
• John L Shelton, DDS

• Dentist in Manchester, TN
• Providers in Manchester, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.