Shelley A Sigur, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401418762 Issued in VA

Practice address

220 W Brambleton Ave Ste 111
Norfolk, VA 23510-1571

Phone

(615) 400-0018

Fax

(912) 732-1013

NPI assigned

Aug 9, 2005

Reactivated

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Hinesville, GA
  • NPI 1326594714
  Medicare reassignment NPD
• West Meade

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1316431950
  NPD (past) Authorized official
• Diversity Health Center Inc.

  • Community/Retail Pharmacy
  • Ludowici, GA
  • NPI 1265274120
  NPD
• Diversity Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Jesup, GA
  • NPI 1518508613
  NPD
• Affordable Dentures & Implants - Spring Hill, P.C.

  • General Practice Dentistry
  • Spring Hill, TN
  • NPI 1780455626
  NPD (past)
• Affordable Dentures & Implants - Tennessee, PLLC

  • General Practice Dentistry
  • Spring Hill, TN
  • NPI 1427534130
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1861493033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W BRAMBLETON AVE STE 111",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101571",
            "telephone_number": "615-400-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BRAMBLETON AVE STE 111",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101571",
            "telephone_number": "615-400-0018",
            "fax_number": "912-732-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGUR",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "deactivation_date": "2019-07-01",
        "reactivation_date": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012297",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS6964",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6712-C",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003239553A",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3205657",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimran Sidhu
• Jordyn P Siegel, M.D.
• Brett Siegfried, M.D.
• Lauren Louise Siewertsz Van Reesema, MD
• Melody Siff, MD
• Rachel Sileo, LPTA
• Joshua Michael Sill, M.D.
• Catalina Silva, ATC
• Silvas LLC
• Silvas LLC

• Dentist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.