Individual provider Active NPI

Shelley Rane Aronson, DDS MS

  • Endodontics
  • College Place, WA
National Provider Identifier
1861670366
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
33059 Issued in CA
Practice address
502 SE Mockingbird Dr
College Place, WA 99324-1864
Phone
(509) 525-2037
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DE8838 WA
Endodontics 1223E0200X 33059 CA Primary
Endodontics 1223E0200X D 9552 OR

Addresses

Primary practice location

502 SE Mockingbird Dr
College Place, WA 99324-1864

Mailing address

502 SE Mockingbird Dr
College Place, WA 99324-1864
Phone (509) 525-2037

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33059CAMDEndodontist
D 9552ORMDEndodontist
DE8838WAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1861670366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SE MOCKINGBIRD DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241864",
            "telephone_number": "509-525-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SE MOCKINGBIRD DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241864",
            "telephone_number": "509-525-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONSON",
        "first_name": "SHELLEY",
        "middle_name": "RANE",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE8838",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "33059",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D 9552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.