Susan Marie S Sheffield, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401414523 Issued in VA

Practice address

4301 W Hundred Rd Ste B
Chester, VA 23831-1959

Phone

(804) 318-1623

NPI assigned

Jul 4, 2014

Last updated

Sep 3, 2021By the provider in NPPES

Sex

Female

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sheffield Dental, PLC

  dba Southside Smiles Dentistry

  • Dental Clinic/Center
  • Chester, VA
  • NPI 1376116293
  NPD Authorized official

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1063828507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N BON VIEW DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354221",
            "telephone_number": "804-267-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W HUNDRED RD STE B",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311959",
            "telephone_number": "804-318-1623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Southpark Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238343628",
            "country_code": "US",
            "telephone_number": "804-504-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "SUSAN MARIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-04",
        "last_updated": "2021-09-03",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaqsride LLC
• Sharon Y Johnson &Associates
• Laura Holmes Shawley, PT, DPT
• Robert Steven Shayne, M.D.
• Sheffield Dental, PLC (Southside Smiles Dentistry)
• Rizwan Sheikh
• Tariq Mohammed Sheikh, MD
• Cheneata I. Shelton, MS/OTR/L
• Shwetha Rodrigues DDS PC
• Sicuro Services Inc

• Dentist in Chester, VA
• Providers in Chester, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.