Active NPI
Heather Ann Sturdivant, DDS
- General Practice Dentistry
- Sheridan, CO
National Provider Identifier
1033345871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10138
- Practice address
- 3480 S Platte River Dr
Apt 9108
Sheridan, CO 80110-2181 - Phone
- (406) 788-9542
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 150623 | CO | |
| General Practice Dentistry | 1223G0001X | 10138 | CO | Primary |
Addresses
Primary practice location
3480 S Platte River Dr
Apt 9108
Sheridan, CO 80110-2181
Mailing address
3480 S Platte River Dr
Apt 9108
Sheridan, CO 80110-2181
Phone (406) 788-9542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150623 | CO | MD | Dentist |
| 10138 | CO | MD | General Practice Dentistry |
Networks
- CO HMO D-SNP
- CO HMO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1033345871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 S PLATTE RIVER DR",
"address_2": "APT 9108",
"city": "SHERIDAN",
"state": "CO",
"postal_code": "801102181",
"telephone_number": "406-788-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 S PLATTE RIVER DR",
"address_2": "APT 9108",
"city": "SHERIDAN",
"state": "CO",
"postal_code": "801102181",
"telephone_number": "406-788-9542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDIVANT",
"first_name": "HEATHER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "150623",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.