Girish Suresh Shelke

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

00000000 Issued in TX

Practice address

7703 Floyd Curl Dr # 2.539U
San Antonio, TX 78229-3901

Phone

(682) 702-0544

NPI assigned

Jul 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD (past)

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1982221032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SUMMIT AVE APT 31",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136651",
            "telephone_number": "682-702-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # 2.539U",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "682-702-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELKE",
        "first_name": "GIRISH",
        "middle_name": "SURESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K Sheire, M.A., LLPC
• Arush Skanda Shekar
• Shyam Ajay Sheladia, MD
• Sheldon P Braverman MD P a
• Denise Sheldon
• Karyn Roper Shelnutt, M.C.D. CCC-SLP
• Grayson Shelton, SLP INTERN
• Hope Marie Shelton, LMSW
• Joanna Lei Shelton, L.AC.
• Justin Shelton, PT

• Public Health Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Public Health Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.