Individual provider Active NPI

Sharon Renee Fix, DDS

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1356441422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M728 Issued in SD
Practice address
101 S Cleveland Ave
Suite 1
Sioux Falls, SD 57103-2034
Phone
(605) 338-8151
Fax
(605) 338-5542
NPI assigned
Sep 25, 2006
Sex
Female
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 M728 SD Primary

Addresses

Primary practice location

101 S Cleveland Ave
Suite 1
Sioux Falls, SD 57103-2034

Mailing address

101 S Cleveland Ave
Suite 1
Sioux Falls, SD 57103-2034
Phone (605) 338-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715000057 SD Order and Referring Only - DentistPractitioner - Dentist 9436462884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M728SDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S CLEVELAND AVE",
            "address_2": "SUITE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571032034",
            "telephone_number": "605-338-8151",
            "fax_number": "605-338-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S CLEVELAND AVE",
            "address_2": "SUITE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571032034",
            "telephone_number": "605-338-8151",
            "fax_number": "605-338-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIX",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.