Organization Active NPI

Shelhouse Dental Group LLC

Doing business as Dayton Dental Solutions

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1932440724
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHELHOUSE DENTAL GROUP LLC
Doing business as
Dayton Dental Solutions
Practice address
1601 Needmore Rd
Dayton, OH 45414-3855
Phone
(937) 898-8980
Fax
(937) 898-4887
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Pam Brown
Title
Office Manager
Phone
(937) 439-0275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1601 Needmore Rd
Dayton, OH 45414-3855

Mailing address

1601 Needmore Rd
Dayton, OH 45414-3855
Phone (937) 898-8980

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherDENTAL OFFICE

Other names 1

  • Dayton Dental Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

1601 Needmore Rd
Dayton, OH 45414
Phone (937) 898-8980

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1932440724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143855",
            "telephone_number": "937-898-8980",
            "fax_number": "937-898-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143855",
            "telephone_number": "937-898-8980",
            "fax_number": "937-898-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELHOUSE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-439-0275"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "1234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.