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SHELLEY MAE RIDENOUR DDS MS
NPI 1477762532
Dentist - Endodontics in Worthington, OH

Active since May 22, 2007Opted out of Medicare · through Nov 10, 2027
6649 N HIGH ST, SUITE 101, WORTHINGTON, OH 43085(614) 846-3636(614) 846-3656 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelley Mae Ridenour Dds Ms NPPES

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

SHELLEY MAE RIDENOUR DDS MS (NPI 1477762532) is an individual endodontics provider in Worthington, Ohio, licensed in Ohio (30019139) and active in the NPI registry since May 2007. She has opted out of Medicare through November 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477762532
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameSHELLEY MAE RIDENOURCredential: DDS MS
Location Address6649 N HIGH ST, SUITE 101Worthington, OH 43085-4070
Mailing Address398 Highgate AvenueWorthington, OH 43085 · (614) 888-1893
Phone(614) 846-3636
Fax(614) 846-3656
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1477762532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in OH · 30019139
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
6649 N HIGH ST, Worthington, OH 43085
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shelley Mae Ridenour Dds Ms 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 November 10, 2015 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2015
Opt-Out In Effect ThroughNovember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43085 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 6

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

DR. HOWARD SPECTOR DDS
Dentist
6649 N HIGH ST, STE 201
WORTHINGTON, OH 43085
Franklin County (614) 436-8336
DR. THELMA D. WHITE, INC.
Psychologist
6649 N HIGH ST, SUITE 106
WORTHINGTON, OH 43085
Franklin County (614) 888-7211
MAY HAMDY AHMED
Dentist (General Practice)
6649 N HIGH ST
WORTHINGTON, OH 43085
Franklin County (614) 436-8336
DR. JENNIFER ANN STERN D.D.S.
Dentist
6649 N HIGH ST, # B
COLUMBUS, OH 43085
Franklin County (614) 572-7228
MRS. LAUREN CAMPEN LISW
Social Worker (Clinical)
6649 N HIGH ST
WORTHINGTON, OH 43085
Franklin County (917) 716-6458
RICHARD E MINTER MD LLC
Specialist
6649 N HIGH ST, SUITE100
WORTHINGTON, OH 43085
Franklin County (614) 848-4820

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 Shelley Ridenour's NPI number?

The NPI number for Shelley Ridenour is 1477762532. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Shelley Ridenour located?

Shelley Ridenour practices at 6649 N High St Suite 101, Worthington, OH 43085. The listed phone number is (614) 846-3636.

What is Shelley Ridenour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Shelley Ridenour enrolled in Medicare?

No. Shelley Ridenour has opted out of Medicare through November 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shelley Ridenour was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.