Organization Active NPI

F. Michael Sheehan DDS LTD

  • General Practice Dentistry
  • Palos Park, IL
National Provider Identifier
1417019555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
F. MICHAEL SHEEHAN DDS LTD
Practice address
11901 S 80TH Ave
Suite D
Palos Park, IL 60464-3102
Phone
(708) 671-1510
Fax
(708) 671-1643
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. F. Michael Sheehan, DDSNPI 1679747562
Title
President
Phone
(708) 614-0321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

11901 S 80TH Ave
Suite D
Palos Park, IL 60464-3102

Mailing address

17406 Tamar LN
Tinley Park, IL 60477-2215
Phone (708) 614-0321

National Provider Directory

National Provider Directory

Locations

11901 S 80th Ave
Ste D
Palos Park, IL 60464
Phone (708) 671-1510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417019555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17406 TAMAR LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772215",
            "telephone_number": "708-614-0321",
            "fax_number": "708-671-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 S 80TH AVE",
            "address_2": "SUITE D",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643102",
            "telephone_number": "708-671-1510",
            "fax_number": "708-671-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. MICHAEL SHEEHAN DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "F.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-614-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.