DR. ROY S SHELBURNE DDS
NPI 1003926940
Dentist - General Practice in Bristol, VA

Active since August 30, 2006Opted out of Medicare · through Aug 12, 2026
14245 LEE HWY, BRISTOL, VA 24202(276) 628-8164 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roy S Shelburne Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROY S SHELBURNE DDS (NPI 1003926940) is an individual general practice provider in Bristol, Virginia, licensed in Virginia (0401-005798) and active in the NPI registry since August 2006. He has opted out of Medicare through August 12, 2026.

NPPES Registry Identity

NPI1003926940
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROY S SHELBURNECredential: DDS
Location Address14245 LEE HWYBristol, VA 24202-4317
Mailing Address37166 Wilderness RdJonesville, VA 24263-8085 · (276) 346-3863 · Fax (276) 346-3944
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 6, 2017
NPI 1003926940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401-005798
Definition
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.
14245 LEE HWY, Bristol, VA 24202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Roy S Shelburne Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2018 through August 12, 2026.

Opt-Out Effective DateAugust 12, 2018
Opt-Out In Effect ThroughAugust 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
14245 LEE HWY
BRISTOL, VA 24202
Dentist
14245 LEE HWY
BRISTOL, VA 24202
Dentist (General Practice)
14245 LEE HWY
BRISTOL, VA 24202
Dentist (General Practice)
14245 LEE HWY
BRISTOL, VA 24202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Shelburne's NPI number?

The NPI number for Roy Shelburne is 1003926940. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Roy Shelburne located?

Roy Shelburne practices at 14245 Lee Hwy, Bristol, VA 24202. The listed phone number is (276) 628-8164.

What is Roy Shelburne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Roy Shelburne enrolled in Medicare?

No. Roy Shelburne has opted out of Medicare through August 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Roy Shelburne accept?

Health plans from Florida Combined Life list Roy Shelburne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roy Shelburne was last updated on March 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.