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SHELBY OLSON DDS
NPI 1295185494
Dentist - Dentist Anesthesiologist in Phoenix, AZ

Active since June 17, 2016PECOS Enrolled
5133 N CENTRAL AVE STE 102, PHOENIX, AZ 85012(614) 292-5574 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2025, May 22, 2019, Dec 15, 2016 and 1 more (4 updates tracked since 2016).

About Shelby Olson Dds NPPES

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

SHELBY OLSON DDS (NPI 1295185494) is an individual dentist anesthesiologist in Phoenix, Arizona, licensed in Arizona (D011566) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295185494
Entity TypeIndividualFemale
Primary Taxonomy1223D0004X
Provider Legal NameSHELBY OLSONCredential: DDS
Location Address5133 N CENTRAL AVE STE 102Phoenix, AZ 85012-1438
Mailing Address5133 N Central Ave Ste 102Phoenix, AZ 85012-1438
Phone(614) 292-5574
Sole ProprietorNo
Enumeration DateJune 17, 2016
Last NPPES UpdateApril 8, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1295185494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Licenses✔ Licensed in AZ · D011566✔ Licensed in OH · 3728
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
5133 N CENTRAL AVE STE 102, Phoenix, AZ 85012
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Other Names 1

Other Name (5)Shelby Dib Dds

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Olson 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shelby Olson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences
1,034 mi
Developmental - Behavioral Pediatrics
519 LATHAM DR
Lowell, AR 72745
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1407021280 (479) 750-0125
Arkansas Childrens Hospital
1,139 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

CAITLIN MEREDITH WATERS D.D.S.
Dentist (Dentist Anesthesiologist)
5133 N CENTRAL AVE STE 102
PHOENIX, AZ 85012
Maricopa County (602) 266-1776
DENTAL ON CENTRAL, LLC
Clinic/Center (Ambulatory Surgical)
5133 N CENTRAL AVE STE 102
PHOENIX, AZ 85012
Maricopa County (602) 266-1776
DR. MICHAEL JEJNA DMD
Dentist
5133 N CENTRAL AVE STE 102
PHOENIX, AZ 85012
Maricopa County (602) 266-1776

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 Olson's NPI number?

The NPI number for Shelby Olson is 1295185494. It was assigned to this individual provider in the NPPES registry on June 17, 2016. The provider is also known as Shelby Dib Dds.

Where is Shelby Olson located?

Shelby Olson practices at 5133 N Central Ave Ste 102, Phoenix, AZ 85012. The listed phone number is (614) 292-5574.

What is Shelby Olson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Is Shelby Olson enrolled in Medicare?

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

Which organizations bill Medicare for Shelby Olson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Olson reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Lowell, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelby Olson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.