Individual provider Active NPI

Adam Sheron, DMD

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1497769251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE9889 Issued in WA
Practice address
1200 NE 99TH St
Vancouver, WA 98665-8909
Phone
(360) 573-8181
Fax
(360) 573-8186
NPI assigned
Jul 28, 2006
Sex
Male
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 DE9889 WA Primary

Addresses

Primary practice location

1200 NE 99TH St
Vancouver, WA 98665-8909

Mailing address

1200 NE 99TH St
Vancouver, WA 98665-8909
Phone (360) 573-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150803002214 WA Order and Referring Only - DentistPractitioner - Dentist 6800100991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE9889WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C. Sheron DMD PS General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497769251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NE 99TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658909",
            "telephone_number": "360-573-8181",
            "fax_number": "360-573-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 99TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658909",
            "telephone_number": "360-573-8181",
            "fax_number": "360-573-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERON",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.