Maria Sheu Kidwell, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

41787 Issued in CA

Practice address

1705 N Fine Ave, Ste. 102
Fresno, CA 93727

Phone

(559) 840-1082

Fax

(909) 558-0106

NPI assigned

Dec 28, 2006

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

Other identifiers 1

Other names 1

• Dr. Maria Miao-Yin Sheu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1134285877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 HERNDON AVE, STE. K-245",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611",
            "telephone_number": "909-558-4611",
            "fax_number": "909-558-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N FINE AVE, STE. 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93727",
            "telephone_number": "559-840-1082",
            "fax_number": "909-558-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "MARIA",
        "middle_name": "SHEU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "41787",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SHEU",
            "middle_name": "MIAO-YIN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darren Michael Kidd
• Trenton Edward Kidder
• Tamiko H Kido, M.D.
• Kids 2 Dentist Fresno, LLC
• Kids Play Therapy, Inc.
• Mallory Kieda
• Danielle Cathleene Kiel, OTR
• Richard George Kiel, M.D.
• Keith Ormon Kielmeyer, M.D.
• Rory Kielmeyer

• Pediatric Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatric Dentistry in California

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