Individual provider Active NPI

David Paul Sheridan, M.D.

  • General Practice Physician
  • Katy, TX
National Provider Identifier
1023331360
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
L3820 Issued in TX
Practice address
20214 Braidwood Dr Ste 215
Katy, TX 77450-2140
Phone
(281) 579-3600
NPI assigned
Mar 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X L3820 TX Primary

Addresses

Primary practice location

20214 Braidwood Dr Ste 215
Katy, TX 77450-2140

Mailing address

20214 Braidwood Dr Ste 215
Katy, TX 77450-2140
Phone (281) 579-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 3, 2012 through Mar 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36597NCMDPharmacy Technician
L3820TXMDGeneral Practice Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDDCD/Endpoint/FGDDCD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1023331360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20214 BRAIDWOOD DR STE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502140",
            "telephone_number": "281-579-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20214 BRAIDWOOD DR STE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502140",
            "telephone_number": "281-579-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.