Active NPI
Elizabeth Jane Sheldon, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Silverdale, WA
National Provider Identifier
1356587307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE60055543(PENDING)
- Practice address
- 9692 Levin Rd NW
Suite 201
Silverdale, WA 98383-7801 - Phone
- (360) 613-5000
- NPI assigned
- Dec 22, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE60055543(PENDING) | WA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6676 | NE | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5640-15 | WI |
Addresses
Primary practice location
9692 Levin Rd NW
Suite 201
Silverdale, WA 98383-7801
Mailing address
9692 Levin Rd NW
Suite 201
Silverdale, WA 98383-7801
Phone (360) 613-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6676 | NE | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DE60055543(PENDING) | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 5640-15 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1356587307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9692 LEVIN RD NW",
"address_2": "SUITE 201",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837801",
"telephone_number": "360-613-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9692 LEVIN RD NW",
"address_2": "SUITE 201",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837801",
"telephone_number": "360-613-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE60055543(PENDING)",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NE",
"license": "6676",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WI",
"license": "5640-15",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.