DR. DANIEL J SHELBY (NPI# 1306093133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306093133 |
Entity Type | Individual |
Full Name | DR. DANIEL J SHELBY |
Credential | DMD |
Practice Address |
400 E Watauga Ave Johnson City TN 37601 |
Mailing Address |
400 E Watauga Ave Johnson City TN 37601-4079 |
Practice Telephone | 4239264867 |
Mailing Telephone | 4239264867 |
Enumeration Date | 2008-08-22 |
Last Update Date | 2018-06-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 2328 | MT | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
10688 | TN | Dental Providers |
Street Address |
400 E WATAUGA AVE |
City | JOHNSON CITY |
State | TN |
Zip Code | 37601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558493080 | John E Tillman | Dentist | 400 E Watauga Ave, Johnson City, TN 37601-4037 | 2007-03-11 |
1144746546 | Felicia Diane Chapman | Dental Hygienist | 400 E Watauga Ave, Johnson City, TN 37601-4079 | 2017-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
Find all providers in zip 37601 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558493080 | John E Tillman | Dentist | 400 E Watauga Ave, Johnson City, TN 37601-4037 | 2007-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518382506 | Jason Strever | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2014-02-27 |
1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
1285946517 | John David Meister | Dentist | 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 | 2010-07-01 |
1770814261 | Thomas Faerber | Dentist | 118 Medical Ct, Clarksville, TN 37043-4602 | 2010-01-22 |
1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
1497959761 | Joseph Wade Gaither | Dentist | 301 Uptown Sq, Murfreesboro, TN 37129-0574 | 2007-06-12 |
1821206111 | Heather Keck Ridgway | Dentist | 510 Brennan Ln, Franklin, TN 37067-6235 | 2007-05-18 |
1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 37601 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.