Misty Dawn Sheldon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5495 Issued in OK

Practice address

2510 E Independence St
#600
Shawnee, OK 74804-1839

Phone

(405) 273-2002

Fax

(405) 273-0087

NPI assigned

Jul 30, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  TX

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Medical Center

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1033511480
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Creek Nation Hospital and Clinics Board

  • General Acute Care Hospital
  • Okemah, OK
  • NPI 1689727588
  NPD (past)
• Impressions Dental

  • General Practice Dentistry
  • Shawnee, OK
  • NPI 1144494147
  NPD (past)
• Robertson Dental Group PLLC

  dba Impressions Dental

  • General Practice Dentistry
  • Shawnee, OK
  • NPI 1689566846
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427063247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E INDEPENDENCE ST",
            "address_2": "#600",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041839",
            "telephone_number": "405-273-2002",
            "fax_number": "405-273-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E INDEPENDENCE ST",
            "address_2": "#600",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041839",
            "telephone_number": "405-273-2002",
            "fax_number": "405-273-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "MISTY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1334872",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnee Public Schools
• Shawnee Regional Hospital Pharmacy
• Shawnee Regional Pharmacy Inc (The Clinic Pharmacy)
• Shawnee Spine
• Laynie Dawn Shebester, PA-C
• Riley Shelton
• Nichole Hopkins Sherman, APRN
• Brittiany Sherwood
• Shashindra Padma Shetty, MD
• William Shields

• Dentist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.