Individual provider Active NPI

Sheryle Lynn Hamlett, DDS

  • Dentist
  • Wasilla, AK
National Provider Identifier
1639200116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
913 Issued in AK
Practice address
951 E Bogard Rd
Suite 203
Wasilla, AK 99654
Phone
(907) 376-2456
Fax
(907) 376-2458
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 913 AK Primary

Addresses

Primary practice location

951 E Bogard Rd
Suite 203
Wasilla, AK 99654

Mailing address

PO Box 870846
Wasilla, AK 99687-0846
Phone (907) 357-8367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709000107 VA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9436461191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
913AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Dental Health II 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639200116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870846",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870846",
            "telephone_number": "907-357-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "address_2": "SUITE 203",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-376-2456",
            "fax_number": "907-376-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLETT",
        "first_name": "SHERYLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.