Active NPI
Sheldon Haynes, MD (DHM)
- Neurology Physician
- Topeka, KS
National Provider Identifier
1083490502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- KS04-64104
- Practice address
- 5119 NW Kendall CT
Topeka, KS 66618-1269 - Phone
- (785) 817-1893
- Fax
- (785) 578-0009
- NPI assigned
- Sep 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | KS-ASCX12N | KS | |
| Neurology Physician | 2084N0400X | KS04-64104 | KS | Primary |
Addresses
Primary practice location
5119 NW Kendall CT
Topeka, KS 66618-1269
Mailing address
5119 NW Kendall CT
Topeka, KS 66618-1269
Phone (785) 817-1893
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C23124507 | Medicaid | KS | |
| 7495262273 | Other | KS | STATE LICENSE NO. |
| BH5617545 | Medicaid | KS | |
| G23123897 | Medicaid | KS | |
| W23124507C | Medicaid | KS | |
| KS04-64104 | Other | KS | LICENCE NUMBER |
Other names 1
- Dequan' Dr Dequan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KS-ASCX12N | KS | MD | Family Medicine Physician |
| KS04-64104 | KS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimistic Wellness LLC | Multi-Specialty | Current | Accepting new patients |
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 and National Provider Directory roles.
-
dba Consumer Protection Law
- Psychiatry Physician
- Topeka, KS
- NPI 1043083413
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1083490502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 NW KENDALL CT",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666181269",
"telephone_number": "785-817-1893",
"fax_number": "785-578-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5119 NW KENDALL CT",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666181269",
"telephone_number": "785-817-1893",
"fax_number": "785-578-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "MD (DHM)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-01",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "KS-ASCX12N",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "KS04-64104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C23124507",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NO.",
"identifier": "7495262273",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BH5617545",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G23123897",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W23124507C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "KS04-64104",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEQUAN'",
"last_name": "DEQUAN",
"middle_name": "DR",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.