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SHELBY BRANSON STORY DDS
NPI 1275323784
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since May 08, 2025PECOS Enrolled
11092 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4423 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelby Branson Story Dds NPPES

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

SHELBY BRANSON STORY DDS (NPI 1275323784) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275323784
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHELBY BRANSON STORYCredential: DDS
Location Address11092 ANDERSON STLoma Linda, CA 92350-1706
Mailing Address11092 Anderson StLoma Linda, CA 92350-1706 · (909) 558-4423
Phone(909) 558-4423
Sole ProprietorNo
Enumeration DateMay 8, 2025
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1275323784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11092 ANDERSON ST, Loma Linda, CA 92350
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Branson Story Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

HYUN JI SOPHIA KANG DDS
Dentist (Endodontics)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4681
DR. JONATHAN ROBERT CHANNER DDS
Dentist
11092 ANDERSON ST, DEPARTMENT OF DENTAL ANESTHESIA
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4611
YEKTA JASMINE ASADI
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (949) 878-8979
DR. JUDY HIYOUNG KANG DDS
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
SAMIR GWALANI DDS
Student in an Organized Health Care Education/Training Program
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
YU-CHEN CHENG
Dentist (Pediatric Dentistry)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. JUSTIN KEITH TERRILL D.D.S.
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. MEL-ANIZI ABANTE BERSABA DDS
Dentist (General Practice)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-8187

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 Shelby Story's NPI number?

The NPI number for Shelby Story is 1275323784. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Shelby Story located?

Shelby Story practices at 11092 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4423.

What is Shelby Story's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shelby Story enrolled in Medicare?

Yes. Shelby Story is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Story was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.