NPIMap

Organization Active NPI

Richard C. Sheron DMD PS

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1053409961
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD C. SHERON DMD PS
Practice address
1200 NE 99TH Street
Vancouver, WA 98665
Phone
(360) 573-8181
Fax
(360) 573-8186
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Adam Sheron, DMDNPI 1497769251
Title
Owner
Phone
(360) 573-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1200 NE 99TH Street
Vancouver, WA 98665

Mailing address

1200 NE 99TH Street
Vancouver, WA 98665
Phone (360) 573-8181

National Provider Directory

National Provider Directory

Locations

1200 NE 99th St
Vancouver, WA 98665
Phone (360) 573-8181

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1053409961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NE 99TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98665",
            "telephone_number": "360-573-8181",
            "fax_number": "360-573-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 99TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98665",
            "telephone_number": "360-573-8181",
            "fax_number": "360-573-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. SHERON DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SHERON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-573-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.