Individual provider Active NPI

William Clyde Sheker, DDS

  • General Practice Dentistry
  • Wisconsin Rapids, WI
National Provider Identifier
1164551529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001763 Issued in WI
Practice address
420 3Rd St S
Wisconsin Rapids, WI 54494-4350
Phone
(715) 424-3553
Fax
(715) 424-4608
NPI assigned
Mar 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5001763 WI Primary

Addresses

Primary practice location

420 3Rd St S
Wisconsin Rapids, WI 54494-4350

Mailing address

2692 Biron Dr E
Wisconsin Rapids, WI 54494-8750
Phone (715) 421-1075

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

State licenses

LicenseStateTypeSpecialty
5001763WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Walkabout Orthotics & Prosthetics Inc Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164551529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 BIRON DR E",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544948750",
            "telephone_number": "715-421-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 3RD ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944350",
            "telephone_number": "715-424-3553",
            "fax_number": "715-424-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKER",
        "first_name": "WILLIAM",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.