Active NPI
Kyle Sheets, DDS
- General Practice Dentistry
- Fowler, IN
National Provider Identifier
1508272196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12011673B
- Practice address
- 98 South 100 East
Suite B
Fowler, IN 47944-0456 - Phone
- (765) 884-0018
- Fax
- (765) 884-0019
- NPI assigned
- Jul 3, 2014
- Last updated
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12011673B | IN | Primary |
Addresses
Primary practice location
98 South 100 East
Suite B
Fowler, IN 47944-0456
Mailing address
98 South 100 East
Suite B
Fowler, IN 47944
Phone (765) 884-0018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011673B | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheets Family Dentistry, Inc. | 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.
-
- Dental Clinic/Center
- Fowler, IN
- NPI 1881178382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1508272196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 SOUTH 100 EAST",
"address_2": "SUITE B",
"city": "FOWLER",
"state": "IN",
"postal_code": "47944",
"telephone_number": "765-884-0018",
"fax_number": "765-884-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 SOUTH 100 EAST",
"address_2": "SUITE B",
"city": "FOWLER",
"state": "IN",
"postal_code": "479440456",
"telephone_number": "765-884-0018",
"fax_number": "765-884-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "KYLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011673B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fowler, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.