Meredith Haar Sheridan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017993 Issued in MI

Practice address

2229 US 23 S
Alpena, MI 49707-4543

Phone

(989) 354-8112

Fax

(989) 354-3542

NPI assigned

Jan 4, 2006

Last updated

Mar 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jack H Behl DDS, PC

  dba Thunder Bay Family Dentistry

  • General Practice Dentistry
  • Alpena, MI
  • NPI 1982682555
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1649258229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 US 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074543",
            "telephone_number": "989-354-8112",
            "fax_number": "989-354-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 US 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074543",
            "telephone_number": "989-354-8112",
            "fax_number": "989-354-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "MEREDITH",
        "middle_name": "HAAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2901017993",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Sharp
• Cassandra Shaw, LLMSW
• Kelsi Shea, RN
• Hassan Sam Sheikho, MD
• Nicole Katherine Shepherd, CHW
• Stephen Clovis Sheridan, M.D.
• Tara Lee Sherman, MPT
• Karen Joy Sherwood, PHYSICAL THERAPIST
• Kasandra Lynn Showalter, LMSW
• Amber Simonye, PA-C

• General Practice Dentistry in Alpena, MI
• Providers in Alpena, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.