Individual provider Active NPI

William Joseph Shelton III, D.D.S.

  • General Practice Dentistry
  • New Orleans, LA
National Provider Identifier
1942511647
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6084 Issued in LA
Practice address
1600 Saint Charles Ave Ste 201
New Orleans, LA 70130-4436
Phone
(504) 304-9929
Fax
(504) 304-6517
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6084 LA Primary

Addresses

Primary practice location

1600 Saint Charles Ave Ste 201
New Orleans, LA 70130-4436

Mailing address

1600 Saint Charles Ave Ste 201
New Orleans, LA 70130-4436
Phone (504) 304-9929

Other identifiers 1

IdentifierTypeStateIssuer
1860841MedicaidLA

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

State licenses

LicenseStateTypeSpecialty
6084LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Dental Center Past Accepting new patients
Tulane Family Dentistry, LLC General Practice PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1942511647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAINT CHARLES AVE STE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304436",
            "telephone_number": "504-304-9929",
            "fax_number": "504-304-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT CHARLES AVE STE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304436",
            "telephone_number": "504-304-9929",
            "fax_number": "504-304-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1860841",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.