Melinda Kathleen Sheridan-Viquez, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0464221 Issued in NY

Practice address

966 Portion Rd
Ronkonkoma, NY 11779

Phone

(631) 451-2245

NPI assigned

May 4, 2007

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Concerned Dental Care of Ronkonkoma, PLLC

  • General Practice Dentistry
  • Ronkonkoma, NY
  • NPI 1700148103
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1346452158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NINA PLACE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "11738",
            "telephone_number": "631-716-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PORTION RD",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-451-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN-VIQUEZ",
        "first_name": "MELINDA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0464221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gazi Shahnaser
• Michelle Elizabeth Shand, LMSW
• Rakesh Kumar Sharma, M.D.
• Catherine Theresa Shea, RN
• Ann M. Shehr, LMHC
• Erum Fatimah Shigri
• Lindsay Sicardi
• Elisabeth Ann Siebel Given, R.N.
• Hallie M Sigman
• Maureen Silver, LCSW

• General Practice Dentistry in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.