Melissa Danette Shotell, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

58232 Issued in CA

Practice address

13955 Mono Way
Suite B
Sonora, CA 95370-2832

Phone

(209) 532-2288

Fax

(614) 436-2299

NPI assigned

Jun 3, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Melissa D Shotell DMD Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sonora, CA
  • NPI 1871963843
  NPD (past) Authorized official
• Abhijit Gune DDS a Professional Corp

  • Dental Clinic/Center
  • Sonora, CA
  • NPI 1487244901
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1790944098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SOULSBYVILLE",
            "state": "CA",
            "postal_code": "953720217",
            "telephone_number": "209-536-1954",
            "fax_number": "614-436-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13955 MONO WAY",
            "address_2": "SUITE B",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702832",
            "telephone_number": "209-532-2288",
            "fax_number": "614-436-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTELL",
        "first_name": "MELISSA",
        "middle_name": "DANETTE",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd C Self, DPM
• Joo Yeun Seo
• Ellora Sethi
• Shahin Laghaee MD Inc
• John Frederick Shield, MD
• Lee Harvey Shuemake, D.C.
• Rich Wiley Shuey, D.C.
• Peter Allen Shumway, OD
• Sukhnandan Sidhu, M.D. ; M.B.,B.S.
• Sierra Care Surgery Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Sonora, CA
• Providers in Sonora, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.