Individual provider Active NPI

Sheryl Lea Watkins, D.M.D.

  • General Practice Dentistry
  • Labelle, FL
National Provider Identifier
1457486565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013835 Issued in FL
Practice address
367 W Hickpoochee Ave
Labelle, FL 33935-4761
Phone
(863) 674-0799
Fax
(863) 674-0899
NPI assigned
Feb 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0013835 FL Primary

Addresses

Primary practice location

367 W Hickpoochee Ave
Labelle, FL 33935-4761

Mailing address

PO Box 1290
Labelle, FL 33975-1290
Phone (239) 768-9010

Other names 1

  • Dr. Sheri L Watkins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150805007895 FL Order and Referring Only - DentistPractitioner - Dentist 3577877414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0013835FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua S Parrish, DC, LLC Past 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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457486565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339751290",
            "telephone_number": "239-768-9010",
            "fax_number": "863-674-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 W HICKPOOCHEE AVE",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339354761",
            "telephone_number": "863-674-0799",
            "fax_number": "863-674-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHERYL",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "WATKINS",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Labelle, FL

Sources for this page

Verify at the official NPI Registry.