Active NPI
Thea Eberlein Sheen, DDS
- Dentist
- Spring, TX
National Provider Identifier
1548997448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38831
- Practice address
- 19507 Interstate 45
Spring, TX 77388-6066 - Phone
- (281) 602-0880
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38831 | TX | Primary |
Addresses
Primary practice location
19507 Interstate 45
Spring, TX 77388-6066
Mailing address
19507 North Fwy # 522I-45
Spring, TX 77388-6066
Phone (281) 602-0880
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 |
|---|---|---|---|
| 38831 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1548997448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19507 NORTH FWY # 522I-45",
"city": "SPRING",
"state": "TX",
"postal_code": "773886066",
"telephone_number": "281-602-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19507 INTERSTATE 45",
"city": "SPRING",
"state": "TX",
"postal_code": "773886066",
"telephone_number": "281-602-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEN",
"first_name": "THEA",
"middle_name": "EBERLEIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.