NPIMap

Organization Active NPI

Paul J. Sheridan, D.D.S. , P.C.

  • Dentist
  • Omaha, NE
National Provider Identifier
1083648232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3780 Issued in NE
Legal business name
PAUL J. SHERIDAN, D.D.S. , P.C.
Practice address
14202 Y St
Omaha, NE 68137-2862
Phone
(402) 895-2085
Fax
(402) 895-3144
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul J Sheridan, D.D.S.NPI 1902909112
Title
Dentist/President
Phone
(402) 895-2085

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5912 NE
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4962 NE
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3780 NE Primary

Addresses

Primary practice location

14202 Y St
Omaha, NE 68137-2862

Mailing address

14202 Y St
Omaha, NE 68137-2862
Phone (402) 895-2085

Other names 1

  • Millard Hills Dental Health Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083648232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 Y ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372862",
            "telephone_number": "402-895-2085",
            "fax_number": "402-895-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 Y ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372862",
            "telephone_number": "402-895-2085",
            "fax_number": "402-895-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. SHERIDAN, D.D.S. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "402-895-2085",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "5912",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "4962",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millard Hills Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • 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.