Leroy Kenneth Sheffer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040438 Issued in NY

Practice address

2600 South Rd
Suite 21
Poughkeepsie, NY 12601-7003

Phone

(845) 437-4380

Fax

(845) 214-0124

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dutchess County Dental Services

  • General Practice Dentistry
  • Poughkeepsie, NY
  • NPI 1588826739
  NPD (past)
• Idental

  • Oral and Maxillofacial Surgery (Dentist)
  • Poughkeepsie, NY
  • NPI 1326289695
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1033396098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LINDSLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013316",
            "telephone_number": "845-338-4733",
            "fax_number": "845-214-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOUTH RD",
            "address_2": "SUITE 21",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126017003",
            "telephone_number": "845-437-4380",
            "fax_number": "845-214-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFER",
        "first_name": "LEROY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Shaughnessy, D.C.
• Donn Shaver, PT
• Patricia Shaver, LPN
• Lisa Marie Shea
• Caeley Sheehan, DO
• Abdul Basit Sheikh, MD
• Abdul-Haseeb Sheikh, MD
• Wen Shen, MD
• Joshua Shane Shepherd, CPSP
• Kelly Shepherd, CASAC-T

• General Practice Dentistry in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.