Organization Active NPI

Sheeler Denture Clinic

  • Dental Laboratory
  • Sequim, WA
National Provider Identifier
1114229721
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
DN00000232 Issued in WA
Legal business name
SHEELER DENTURE CLINIC
Practice address
680 W Washington St
Suite E-106
Sequim, WA 98382-3264
Phone
(360) 681-7999
Fax
(360) 582-9888
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mr. Robert Keith Sheeler, LD
Title
Denturist
Phone
(360) 681-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X DN00000232 WA Primary

Addresses

Primary practice location

680 W Washington St
Suite E-106
Sequim, WA 98382-3264

Mailing address

680 W Washington St
Suite E-106
Sequim, WA 98382-3264
Phone (360) 681-7999

National Provider Directory

National Provider Directory

Locations

680 W Washington St
Ste E106
Sequim, WA 98382
Phone (360) 430-5839

Practitioners & affiliated clinicians

Practitioners 2

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": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1114229721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W WASHINGTON ST",
            "address_2": "SUITE E-106",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823264",
            "telephone_number": "360-681-7999",
            "fax_number": "360-582-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W WASHINGTON ST",
            "address_2": "SUITE E-106",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823264",
            "telephone_number": "360-681-7999",
            "fax_number": "360-582-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEELER DENTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SHEELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "360-681-7999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "WA",
            "license": "DN00000232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.