Individual provider Active NPI

John Andrew Sheets, D.D.S.

  • General Practice Dentistry
  • Jackson, MI
National Provider Identifier
1063450898
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015065 Issued in MI
Practice address
1615 Carlton Blvd
Jackson, MI 49203-1444
Phone
(517) 787-6776
NPI assigned
Jun 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015065 MI Primary

Addresses

Primary practice location

1615 Carlton Blvd
Jackson, MI 49203-1444

Mailing address

2341 S Sandstone Rd
Jackson, MI 49201-9373
Phone (517) 750-2834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000045 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072757921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901015065MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sheets Family Dentistry PLLC CurrentSince Sep 6, 2020 Accepting new patients

Locations

1615 Carlton Blvd
Jackson, MI 49203
Phone (517) 787-6776

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063450898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 S SANDSTONE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019373",
            "telephone_number": "517-750-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CARLTON BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031444",
            "telephone_number": "517-787-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.