Individual provider Active NPI

John Christian Sheaffer, DDS, MS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1659492155
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7675 Issued in KY
Practice address
2310 Myron Dr
Raleigh, NC 27607-3358
Phone
(919) 782-8603
Fax
(919) 782-1295
NPI assigned
Apr 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6603 NC
Endodontics 1223E0200X 04-250820 PA
General Practice Dentistry 1223G0001X 7675 KY Primary

Addresses

Primary practice location

2310 Myron Dr
Raleigh, NC 27607-3358

Mailing address

2310 Myron Dr
Raleigh, NC 27607-3358
Phone (919) 782-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20201120000206 NC Practitioner - Dentist 2567755937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
04-250820PAMDEndodontist
7675KYMDGeneral Practice Dentistry
6603NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Oct 11, 2020 Accepting new patients
East Carolina University General Practice CurrentSince Oct 11, 2020 Accepting new patients
East Carolina University Current Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 4

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659492155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MYRON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073358",
            "telephone_number": "919-782-8603",
            "fax_number": "919-782-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MYRON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073358",
            "telephone_number": "919-782-8603",
            "fax_number": "919-782-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFFER",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6603",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "04-250820",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.