DR. SHELBY J. SMITH (NPI# 1700882784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700882784 |
| Entity Type | Individual |
| Full Name | DR. SHELBY J. SMITH |
| Credential | DDS, MS |
| Practice Address |
2213 Buchanan Rd Ste 112 Antioch CA 94509-4265 |
| Practice Telephone | 9257555115 |
| Practice Fax Number | 9257555003 |
| Mailing Telephone | 9257555115 |
| Mailing Fax Number | 9257555003 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
38482 | CA | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
38482 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790304939 | Shelby Ann Smith | Behavioral Analyst | 1161 Main St, Jenkins Township, PA 18640-1557 | 2020-04-08 |
| 1467929257 | Shelby Lynn Smith | Behavior Technician | 56 Gaymore Rd, Port Jefferson Station, NY 11776-1353 | 2018-10-30 |
| 1184164782 | Shelby Lynn Smith | Specialist/Technologist | 6035 Radio Station Rd, La Plata, MD 20646-3369 | 2017-03-01 |
| 1659736809 | Shelby Deason Smith | Counselor | 300 Erin Ave Apt 4, Monroe, LA 71201-4606 | 2015-12-15 |
| 1073744280 | Shelby Colquitt Smith | Nurse Practitioner | 6308 Adams Park Dr, Columbus, GA 31909-3528 | 2009-08-05 |
| 1437285038 | Shelby Allen Smith | Family Medicine | 3850 S. National Ave, #520, Springfield, MO 65807-5230 | 2007-02-26 |
| 1093752123 | Shelby K Smith | Chiropractor | 1568 Southlake Pkwy Ste B, Morrow, GA 30260 | 2006-05-31 |
| 1114554078 | Shelby Smith | Orthopaedic Surgery | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-03-23 |
| 1639720287 | Shelby Denise Smith | Counselor | 605 W Oxford Ave, Enid, OK 73701-1208 | 2019-09-25 |
| 1639729510 | Shelby Smith | Speech-Language Pathologist | 101 Kirkland St, Union, MS 39365-3205 | 2019-09-12 |
| Street Address |
2213 BUCHANAN RD STE 112 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750849 | Brighter Beginnings | Clinic/Center | 2213 Buchanan Rd, Ste 103, Antioch, CA 94509-4265 | 2016-10-04 |
| 1922371004 | Megan Michelle Tyler | Nurse Practitioner | 2213 Buchanan Rd, Suite 103, Antioch, CA 94509-4265 | 2012-02-20 |
| 1689728081 | Kristina Rahbek Ludwigsen | Psychologist | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-22 |
| 1346392578 | Kyle P. Owen | Psychiatry & Neurology | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-17 |
| 1124170295 | Deborah Kaplan | Psychologist | 2213 Buchanan Rd, 203, Antioch, CA 94509-4265 | 2007-01-17 |
| 1679622864 | Karen Ann Case | Social Worker | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-09 |
| 1992862668 | Lori S Gant | Social Worker | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-02 |
| 1427115302 | Theresa Margaret Schuman | Psychologist | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-02 |
| 1568527240 | Kavitha Rao | Psychiatry & Neurology | 2213 Buchanan Rd, Kaiser Department of Mental Health Suite 203, Antioch, CA 94509 | 2006-12-24 |
| 1053475368 | Daniel J Curry | Social Worker | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275761124 | Patrick Ting So | Dentist | 2390 Country Hills Dr, Antioch, CA 94509-7437 | 2009-06-30 |
| 1972786994 | Tim Huang | Dentist | 4045 Lone Tree Way Ste A, Antioch, CA 94531-6206 | 2007-12-12 |
| 1518189380 | Lajuan Michelle Hall | Dentist | 5201 Deer Valley Rd Ste 2a, Antioch, CA 94531-7431 | 2007-05-02 |
| 1255447140 | William M Nielsen | Dentist | 3712 C Lone Tree Way, Antioch, CA 94509 | 2006-08-22 |
| 1861477796 | Tanimura, Dds, Msd and Peng, Dds, Inc. | Dentist | 2901 Lone Tree Way, Antioch, CA 94509-4963 | 2005-12-14 |
| 1689658593 | Robert C K Peng | Dentist | 2390 Country Hills Drive, Suite 102, Antioch, CA 94509 | 2005-12-05 |
| 1932739422 | Castillo & Vincent Pllc | Dentist | 5245 Hickory Hollow Pkwy, Antioch, TN 37013-3003 | 2020-01-23 |
| 1518944479 | Leslie Kyoko Tanimura | Dentist | 2390 Country Hills Drive, Suite 102, Antioch, CA 94509 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SHELBY J. SMITH.
| 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.