John Sheets, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12546 Issued in MO

Practice address

53 Doctors Park
Suite 1
Cape Girardeau, MO 63703-4927

Phone

(573) 335-0300

Fax

(573) 335-7693

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477584662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 HORSE SHOE RDG",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DOCTORS PARK",
            "address_2": "SUITE 1",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-335-0300",
            "fax_number": "573-335-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "12546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamrock Dental Group, LLC
• James Daniel Shandy, BC-HIS
• Katheryne Jenna Sharp, BCBA
• Teena L Sharrock, MD
• Zachary Shaw, AU.D.
• Susan H Sheets, D.D.S.
• Ahmad Zaki Sheikh, M.D.
• Taylor Shell-Taylor, PTA
• Jennifer Shelton, LCSW
• Matthew Shepard

• Oral and Maxillofacial Surgery (Dentist) in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.