Jared Michael Shelton, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9055 Issued in KY

Practice address

800 Rose St
D508 College of Dentistry Division of Oral Surgery
Lexington, KY 40536-0292

Phone

(859) 323-6101

NPI assigned

Jun 20, 2011

Last updated

Aug 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1871889782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 LADY DI LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171020",
            "telephone_number": "270-839-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "D508 COLLEGE OF DENTISTRY DIVISION OF ORAL SURGERY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360292",
            "telephone_number": "859-323-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9055",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Nicole Shelton-Miller
• Bryce Shelton, MD
• Charles Clay Shelton, DO
• Charles I Shelton Jr., D.O.
• Hannah Gaye Shelton, APRN
• Kathleen Shelton
• Lucas Clark Shelton, MD
• Makena Shelton
• Margaret Taylor Shelton, DPT
• Samantha Shelton

• Oral and Maxillofacial Surgery (Dentist) in Lexington, KY
• Providers in Lexington, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.