NPIMap

Organization Active NPI

Wexford Family Dentistry

  • General Practice Dentistry
  • Wexford, PA
National Provider Identifier
1184787475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 022952 L Issued in PA
Legal business name
WEXFORD FAMILY DENTISTRY
Practice address
1000 Brooktree Rd
Suite 101
Wexford, PA 15090-9286
Phone
(734) 935-3610
Fax
(734) 935-0566
NPI assigned
Dec 18, 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
Dr. Mark D Sheedy, DMDNPI 1821055849
Title
Owner Primary Dentist
Phone
(724) 935-3610

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS 022952 L PA Primary

Addresses

Primary practice location

1000 Brooktree Rd
Suite 101
Wexford, PA 15090-9286

Mailing address

1000 Brooktree Rd
Suite 101
Wexford, PA 15090-9286
Phone (734) 935-3610

National Provider Directory

National Provider Directory

Locations

1000 Brooktree Rd
Ste 101
Wexford, PA 15090
Phone (724) 935-3610

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184787475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROOKTREE RD",
            "address_2": "SUITE 101",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909286",
            "telephone_number": "734-935-3610",
            "fax_number": "734-935-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKTREE RD",
            "address_2": "SUITE 101",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909286",
            "telephone_number": "734-935-3610",
            "fax_number": "734-935-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXFORD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEEDY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER  PRIMARY DENTIST",
        "authorized_official_telephone_number": "724-935-3610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 022952 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

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.