Individual provider Active NPI

Sheri Ann Opp, D.D.S

  • Dentist
  • Fair Oaks, CA
National Provider Identifier
1417281031
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47401 Issued in CA
Practice address
5252 Sunrise Blvd Ste 2
Fair Oaks, CA 95628-3532
Phone
(916) 454-0860
Fax
(916) 863-6532
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47401 CA Primary

Addresses

Primary practice location

5252 Sunrise Blvd Ste 2
Fair Oaks, CA 95628-3532

Mailing address

5252 Sunrise Blvd Ste 2
Fair Oaks, CA 95628-3532
Phone (916) 454-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47401CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Hinton DDS, Inc Dentist PastSince Jul 31, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1417281031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 SUNRISE BLVD STE 2",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283532",
            "telephone_number": "916-454-0860",
            "fax_number": "916-863-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 SUNRISE BLVD STE 2",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283532",
            "telephone_number": "916-454-0860",
            "fax_number": "916-863-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPP",
        "first_name": "SHERI",
        "middle_name": "ANN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.