Active NPI
Sheldon David Las, RDH
- Dental Hygienist
- Rochester, MN
National Provider Identifier
1548517469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6244
- Practice address
- 903 W Center St
Rochester, MN 55902-6278 - Phone
- (507) 529-0436
- NPI assigned
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H6244 | MN | Primary |
Addresses
Primary practice location
903 W Center St
Rochester, MN 55902-6278
Mailing address
842 Balsam CT NE
Pine Island, MN 55963-7634
Phone (507) 356-2729
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 |
|---|---|---|---|
| H6244 | MN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles Around Minnesota | Dental Hygienist | 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.
-
- Dental Hygienist
- Pine Island, MN
- NPI 1386198729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1548517469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 BALSAM CT NE",
"city": "PINE ISLAND",
"state": "MN",
"postal_code": "559637634",
"telephone_number": "507-356-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W CENTER ST",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559026278",
"telephone_number": "507-529-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAS",
"first_name": "SHELDON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H6244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.