Shelley Mae Ridenour, DDS MS
NPI 1477762532ActiveIndividual· Dentist, Endodontics· Worthington, OH
Opted out of Medicare from November 2015 to November 2027. Dentist, Endodontics (DDS MS) in Worthington, Ohio, licensed in OH, with an NPI issued in May 2007.
Overview
| NPI | 1477762532 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS MS |
| Sole proprietor | Yes |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Sep 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 30019139 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Nov 10, 2015 – Nov 10, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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