Active NPI
Codee L Hobart, LD-
- Denturist
- Grants Pass, OR
National Provider Identifier
1407367550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO-10180873
- Practice address
- 1850 Williams Hwy
Rogue River Denture Service
Grants Pass, OR 97527 - Phone
- (541) 476-0254
- Fax
- (541) 955-7277
- NPI assigned
- Oct 17, 2017
- Last updated
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO-10180873 | OR | Primary |
Addresses
Primary practice location
1850 Williams Hwy
Rogue River Denture Service
Grants Pass, OR 97527
Mailing address
1850 Williams Hwy
Rogue River Denture Service
Grants Pass, OR 97527
Phone (541) 476-0254
Other names 1
- Ms. Codee L Sheeler
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 |
|---|---|---|---|
| DT-DO-10180873 | OR | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue River Denture Service | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Laboratory
- Grants Pass, OR
- NPI 1154873271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1407367550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 WILLIAMS HWY",
"address_2": "ROGUE RIVER DENTURE SERVICE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-476-0254",
"fax_number": "547-955-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 WILLIAMS HWY",
"address_2": "ROGUE RIVER DENTURE SERVICE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-476-0254",
"fax_number": "541-955-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBART",
"first_name": "CODEE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LD-",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO-10180873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CODEE",
"last_name": "SHEELER",
"middle_name": "L",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.