Individual provider Active NPI

Elizabeth Jane Sheldon, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Silverdale, WA
National Provider Identifier
1356587307
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60055543(PENDING) Issued in WA
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

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6676NEMDOrthodontics and Dentofacial Orthopedic Dentist
DE60055543(PENDING)WAMDOrthodontics and Dentofacial Orthopedic Dentist
5640-15WIMDOrthodontics 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.

Verify at the official NPI Registry.