Active NPI
Sheerin H Yusuf, D.M.D.
- Endodontics
- Duluth, GA
National Provider Identifier
1255569026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN014353
- Practice address
- 1630 Pleasant Hill Rd
200
Duluth, GA 30096-5899 - Phone
- (248) 854-3386
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037859 | PA | |
| Endodontics | 1223E0200X | DN014353 | GA | Primary |
Addresses
Primary practice location
1630 Pleasant Hill Rd
200
Duluth, GA 30096-5899
Mailing address
1630 Pleasant Hill Rd
200
Duluth, GA 30096-5899
Phone (248) 854-3386
Other practice location 1
4463 Towne Lake Pkwy
Woodstock, GA 30189-8229
Phone (678) 445-1105
Other practice location 2
3330 Piedmont Rd NE
Atlanta, GA 30305-1726
Phone (404) 237-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160317000671 | GA | Order and Referring Only - Oral Surgery | 5799081758 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037859 | PA | MD | Dentist |
| DN014353 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1255569026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 PLEASANT HILL RD",
"address_2": "200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965899",
"telephone_number": "248-854-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 PLEASANT HILL RD",
"address_2": "200",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965899",
"telephone_number": "248-854-3386"
}
],
"practiceLocations": [
{
"address_1": "4463 Towne Lake Pkwy",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301898229",
"country_code": "US",
"telephone_number": "678-445-1105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Piedmont Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303051726",
"country_code": "US",
"telephone_number": "404-237-5330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUSUF",
"first_name": "SHEERIN",
"middle_name": "H",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037859",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "DN014353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.