Organization Active NPI

Daniel Sheridan DDS

  • Dental Clinic/Center
  • Saginaw, MI
National Provider Identifier
1497471148
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL SHERIDAN DDS
Practice address
138 Harrow LN Ste 1
Saginaw, MI 48638-6061
Phone
(989) 792-1900
Fax
(989) 792-0044
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Yvonne De la Cruz
Title
Office Manager
Phone
(989) 792-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

138 Harrow LN Ste 1
Saginaw, MI 48638-6061

Mailing address

138 Harrow LN Ste 1
Saginaw, MI 48638-6061
Phone (989) 792-1900

Other identifiers 1

IdentifierTypeStateIssuer
1518997006MedicaidMI

Other names 1

  • Daniel Sheridan DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

138 Harrow Ln
Ste 1
Saginaw, MI 48638
Phone (989) 792-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1497471148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HARROW LN STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386061",
            "telephone_number": "989-792-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HARROW LN STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386061",
            "telephone_number": "989-792-1900",
            "fax_number": "989-792-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SHERIDAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-792-1900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518997006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Sheridan DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.