Active NPI
Rosetta Marie Shelby-Calvin, DMD
- Dentist
- Bryant, AR
National Provider Identifier
1851473326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2963
- Practice address
- 23233 I-30, Suite 4
Bryant, AR 72022 - Phone
- (501) 847-9901
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2963 | AR | Primary |
Addresses
Primary practice location
23233 I-30, Suite 4
Bryant, AR 72022
Mailing address
23239 I 30 Ste 4
Bryant, AR 72022-2571
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2963 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1851473326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23239 I 30 STE 4",
"city": "BRYANT",
"state": "AR",
"postal_code": "720222571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23233 I-30, SUITE 4",
"city": "BRYANT",
"state": "AR",
"postal_code": "72022",
"telephone_number": "501-847-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY-CALVIN",
"first_name": "ROSETTA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.