Raymond J. Sheridan D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22546 Issued in CA

Legal business name

RAYMOND J. SHERIDAN D.D.S.

Practice address

2400 Westborough Blvd
Suite 107
South San Francisco, CA 94080-5404

Phone

(650) 876-0866

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Renee Ramsey

Title

Accountant

Phone

(650) 876-0866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Raymond Joseph Sheridan, D.D.S.

  • General Practice Dentistry
  • South San Francisco, CA
  • NPI 1396843520
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063628691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD",
            "address_2": "SUITE 107",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805404",
            "telephone_number": "650-876-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD",
            "address_2": "SUITE 107",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805404",
            "telephone_number": "650-876-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND J. SHERIDAN D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "650-876-0866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ramos
• Simrat Randhawa, MD
• Jessica Rangel-Torres
• Nicholas John Ratto, PHARM.D.
• Katherine Rausa, M.D.
• Jennifer Rebollido, RCP
• Shristi Reddy
• Merrily Nicole Reginelli, CD, CPD, LCCE
• Katriona Lorraine Reilly-Amtoft
• Bonnie A. Renderos, MD

• General Practice Dentistry in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.