Jeffrey Albert Shelley Jr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D.0005951-C1 Issued in AL

Practice address

1957 E Samford Ave
Suite a
Auburn, AL 36830

Phone

(335) 521-0112

NPI assigned

Dec 16, 2012

Last updated

Jan 7, 2019By 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

Enrolled in AL

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shelley Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Auburn, AL
  • NPI 1558822759
  NPD (past) Authorized official

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1881930014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CHEWACLA DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305565",
            "telephone_number": "334-549-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 E SAMFORD AVE",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "335-521-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 North Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "334-549-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1572 Mill Sq",
            "address_purpose": "LOCATION",
            "city": "Alexander City",
            "state": "AL",
            "postal_code": "350102674",
            "country_code": "US",
            "telephone_number": "256-397-3367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "JEFFREY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-16",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.0005951-C1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Alden Shea, OT
• Kylie Sheats
• Sabrina Noah Sheets, APRN
• Shelby Sipe Professional Counseling
• Shelley Orthodontics LLC
• Ellen Marie Sheppard, PTA
• Shield and Grove Christian Counseling LLC
• Isaac Shin
• Alexandra Sierko, PHARMD
• Signal Ionm LLC

• Dentist in Auburn, AL
• Providers in Auburn, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.