Sheldon Lee Carlow, DDS
Individual provider Active NPI Dentist · York, NE
NPI 1609005677 · NPPES record last updated Jul 10, 2009
Key facts
- NPI
- 1609005677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6855 (NE)
- Practice address
- 622 N Burlington Ave
York, NE 68467-3030 - Phone
- (402) 640-8105
- NPI assigned
- Jul 10, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150515002014 | NE | Order and Referring Only - Oral Surgery |
0840510756 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6855 | NE | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6855 | NE | Yes |
Addresses
Primary practice location
622 N Burlington Ave
York, NE 68467-3030
Mailing address
622 N Burlington Ave
York, NE 68467-3030
Phone (402) 640-8105
Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.