Individual provider Active NPI

Robert E Sheffield, DDS

  • Dentist
  • Antioch, CA
National Provider Identifier
1336284538
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
424774 Issued in CA
Practice address
3428 Hillcrest Ave
#100
Antioch, CA 94531-8238
Phone
(925) 757-9100
Fax
(925) 754-3951
NPI assigned
Feb 21, 2007
Last updated
Oct 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 424774 CA Primary

Addresses

Primary practice location

3428 Hillcrest Ave
#100
Antioch, CA 94531-8238

Mailing address

3428 Hillcrest Ave
#100
Antioch, CA 94531-8238
Phone (925) 757-9100

Other identifiers 1

IdentifierTypeStateIssuer
42774OtherCADENTAL BOARD OF CALIFORNI

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
424774CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheffield and Le Orthodontics PastSince Oct 15, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1336284538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 HILLCREST AVE",
            "address_2": "#100",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318238",
            "telephone_number": "925-757-9100",
            "fax_number": "925-754-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 HILLCREST AVE",
            "address_2": "#100",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318238",
            "telephone_number": "925-757-9100",
            "fax_number": "925-754-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "424774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNI",
            "identifier": "42774",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.