Shelli Boucher, D.M.D.
NPI 1356773691 · General Practice Dentistry · Indian Trail, NC
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shelli Boucher, D.M.D. is a General Practice Dentistry provider in Indian Trail, NC (NPI 1356773691).
Provider details
- NPI number
- 1356773691
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11538 (NC)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-08
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Shelli Boucher's NPI number?
- Shelli Boucher's National Provider Identifier (NPI) is 1356773691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelli Boucher's specialty?
- Shelli Boucher is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Shelli Boucher located?
- Shelli Boucher's practice location on file with NPPES is 185 Marron Dr, Indian Trail, NC 28079-4510.
- What is Shelli Boucher's phone number?
- The practice phone number listed in the NPPES registry for Shelli Boucher is (860) 428-7204.
- Does Shelli Boucher accept Medicare?
- Shelli Boucher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shelli Boucher's NPI active?
- Yes — Shelli Boucher's NPI (1356773691) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.