Active NPI
David Ward Sheets, DMD,LLC
- Exclusive Provider Organization
- Oakland, MD
National Provider Identifier
1659587624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 7113
- Practice address
- 4000 Thayer Ctr
Oakland, MD 21550-1138 - Phone
- (301) 334-1111
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 7113 | MD | Primary |
Addresses
Primary practice location
4000 Thayer Ctr
Oakland, MD 21550-1138
Mailing address
4000 Thayer Ctr
Oakland, MD 21550-1138
Phone (301) 334-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7113 | MD | MD | Exclusive Provider Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659587624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 THAYER CTR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501138",
"telephone_number": "301-334-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 THAYER CTR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501138",
"telephone_number": "301-334-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "DAVID",
"middle_name": "WARD",
"name_prefix": "Mr.",
"credential": "DMD,LLC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MD",
"license": "7113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.