Active NPI
Sherwin Abejar Panem, D.D.S.
- Dentist
- Sacramento, CA
National Provider Identifier
1386703650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52907
- Practice address
- 5247 Elkhorn Blvd
Ste. C
Sacramento, CA 95842-2509 - Phone
- (916) 344-2554
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52907 | CA | Primary |
Addresses
Primary practice location
5247 Elkhorn Blvd
Ste. C
Sacramento, CA 95842-2509
Mailing address
9645 Duckweed St.
Roseville, CA 95747
Phone (916) 726-4176
Other names 1
- Dr. Sherwin A Panem
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 |
|---|---|---|---|
| 52907 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- spanem@direct.westerndental.com
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Sacramento, CA
- NPI 1750437778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386703650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9645 DUCKWEED ST.",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95747",
"telephone_number": "916-726-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5247 ELKHORN BLVD",
"address_2": "STE. C",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958422509",
"telephone_number": "916-344-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANEM",
"first_name": "SHERWIN",
"middle_name": "ABEJAR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERWIN",
"last_name": "PANEM",
"middle_name": "A",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.