Kevin Sheu, DDS
Individual provider Active NPI Dentist · Carmel Valley, CA
NPI 1629124995 · NPPES record last updated Jan 23, 2013
Key facts
- NPI
- 1629124995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 29464 (CA)
- Practice address
- 26300 Jeanette Rd
Carmel Valley, CA 93924-9227 - Phone
- (831) 659-5735
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29464 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29464 | CA | Yes |
Addresses
Primary practice location
26300 Jeanette Rd
Carmel Valley, CA 93924-9227
Mailing address
26300 Jeanette Rd
Carmel Valley, CA 93924-9227
Phone (831) 659-5735
Other providers in Carmel Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.