Shelby Roszhart, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09793 Issued in IA

Practice address

1540 High St Ste 201
Des Moines, IA 50309-3112

Phone

(515) 244-9565

Fax

(888) 566-2377

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 16, 2021 through Sep 16, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Jeffrey Thomas Loftus DDS PC

  • General Practice Dentistry
  • Rapid City, SD
  • NPI 1699792887
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1831716448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HIGH ST STE 201",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093112",
            "telephone_number": "515-244-9565",
            "fax_number": "888-566-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HIGH ST STE 201",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093112",
            "telephone_number": "515-244-9565",
            "fax_number": "888-566-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSZHART",
        "first_name": "SHELBY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "09793",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda L Ross, RN BSN
• Thomas W Ross, DO
• Robert S Rossi, MD
• Kristina Rossmiller, MD
• Adrian Rosu
• Gabrielle Grace Rotermund, DO
• Allison Paige Roth, DC
• Claire Roth
• James Robert Roth, DC
• Rebecca A Rotherham, RPH

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.