RAYMOND ANTHONY SHELKO D.D.S. NPI 1053442483

NPI Information

NPI: 1053442483
Provider Name: RAYMOND ANTHONY SHELKO, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1090 GOAT SPRINGS ROAD
TAOS, NM
ZIP 87571
Phone: (575) 758-4224
Get Directions

Raymond Anthony Shelko, D.D.S. is a general practice dentist in Taos, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Raymond Anthony Shelko, D.D.S. NPI is 1053442483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1090 GOAT SPRINGS ROAD
TAOS, NM
ZIP 87571-946
Phone: (575) 758-4224
Fax: (575) 751-5210

The NPI 1053442483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	8722	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	HSZ189	MEDICARE UPIN	NEW MEXICO
2	K3543	MEDICAID	NEW MEXICO
3	320057	MEDICARE OSCAR/CERTIFICATION	NEW MEXICO
4	49382861	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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