Individual provider Active NPI

Jimmy B Sheats II, D.M.D.

  • Endodontics
  • Nashville, TN
National Provider Identifier
1679662829
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7807 Issued in TN
Practice address
1915 Charlotte Ave
Suite 205
Nashville, TN 37203-2130
Phone
(615) 320-0099
Fax
(615) 825-0006
NPI assigned
Oct 12, 2006
Sex
Male
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
Endodontics 1223E0200X 7807 TN Primary

Addresses

Primary practice location

1915 Charlotte Ave
Suite 205
Nashville, TN 37203-2130

Mailing address

1915 Charlotte Ave
Suite 205
Nashville, TN 37203-2130
Phone (615) 320-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • 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
I20160311000766 TN Order and Referring Only - Other (Non-Physician) 8527364850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7807TNMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy B Sheats D.D.S., P.C. Endodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679662829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CHARLOTTE AVE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032130",
            "telephone_number": "615-320-0099",
            "fax_number": "615-825-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 CHARLOTTE AVE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032130",
            "telephone_number": "615-320-0099",
            "fax_number": "615-825-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEATS",
        "first_name": "JIMMY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.