Individual provider Active NPI

Melissa Christine Sheets, DDS

  • Dentist
  • Omaha, NE
National Provider Identifier
1508007089
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6833 Issued in NE
Practice address
11919 Grant St
Omaha, NE 68164-3475
Phone
(402) 202-3123
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6833 NE Primary

Addresses

Primary practice location

11919 Grant St
Omaha, NE 68164-3475

Mailing address

11919 Grant St Ste 140
Omaha, NE 68164-3475
Phone (402) 493-4175

Other names 1

  • Melissa Christine Kimmerling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20210826000883 NE Practitioner - Dentist 6002211281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Univ of Nebraska Medical Center, Col of Dentistry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
MC Sheets DDS, PCGroup PAC ID 5193120376, 2 clinicians

Practice addresses (Care Compare)

11919 Grant St
Suite 140
Omaha, NE 68164-3475
Phone (402) 493-4175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
R. W. Roubal, D.D.S., P.C. CurrentSince Jun 27, 2021 Accepting new patients
MC Sheets DDS, PC Dentist CurrentSince Jun 30, 2021 Accepting new patients

Locations

11919 Grant St
Ste 140
Omaha, NE 68164
Phone (402) 493-4175

Organizations & group practices 2

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1508007089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 GRANT ST STE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643475",
            "telephone_number": "402-493-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643475",
            "telephone_number": "402-202-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KIMMERLING",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.