Active NPI
Shelby Stein Sheeran, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lexington, KY
National Provider Identifier
1417432899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10115
- Practice address
- 3141 Beaumont Centre Cir Ste 200
Lexington, KY 40513-1956 - Phone
- (859) 296-4846
- NPI assigned
- Oct 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10115 | KY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10115 | KY | Primary |
Addresses
Primary practice location
3141 Beaumont Centre Cir Ste 200
Lexington, KY 40513-1956
Mailing address
5089 Sulphur LN
Lexington, KY 40509-8427
Phone (270) 769-8461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10115 | Other | KY | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181120002994 | KY | Order and Referring Only - Dentist | 8729332135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrow Dental PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| White, Greer and Maggard, PSC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lexington, KY
- NPI 1427453711
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lexington, KY
- NPI 1285787051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1417432899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5089 SULPHUR LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405098427",
"telephone_number": "270-769-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 BEAUMONT CENTRE CIR STE 200",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131956",
"telephone_number": "859-296-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEERAN",
"first_name": "SHELBY",
"middle_name": "STEIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10115",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "KY",
"license": "10115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "10115",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.