Larry D Sheldon DDS Chartered

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LARRY D SHELDON DDS CHARTERED

Doing business as

Sheldon Dental Group

Practice address

125 E Park St
Olathe, KS 66061-3428

Phone

(913) 782-7580

Fax

(913) 782-0122

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Vincent Sheldon, DDSNPI 1043207368

Title

President

Phone

(913) 782-7580

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sheldon Dental Group Doing business as

Locations

Practitioners 2

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

• Daniel Vincent Sheldon, DDS

  • Dentist
  • Olathe, KS
  • NPI 1043207368
  NPD (past) Authorized official
• Andrew Mark Sousa, D.M.D.

  • General Practice Dentistry
  • Olathe, KS
  • NPI 1689961856
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447246558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PARK ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613428",
            "telephone_number": "913-782-7580",
            "fax_number": "913-782-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PARK ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613428",
            "telephone_number": "913-782-7580",
            "fax_number": "913-782-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D SHELDON DDS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-782-7580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "08634017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "450463",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "974909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheldon Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Lane, DO
• Sage N Langford
• Melissa Langlands, LMSW
• Jessica Langley, BS
• Lindsey Largen, LPC
• Kylie Larson, LPC
• Elizabeth Larue-Greer, RD, LD
• Amanda C. Larue, LMSW
• Lash Healthcare Association, LLC
• Daniel Edward Lash, LMFT

• General Practice Dentistry in Olathe, KS
• Providers in Olathe, KS by specialty
• General Practice Dentistry in Kansas

• 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.