Individual provider Active NPI

Vernon Lyn Sheen, D.M.D.

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1679674568
Registry record updated Jan 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10502 Issued in MD
Practice address
888 Bestgate Rd
Suite 201
Annapolis, MD 21401-3091
Phone
(410) 266-1007
Fax
(410) 266-3850
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10502 MD Primary

Addresses

Primary practice location

888 Bestgate Rd
Suite 201
Annapolis, MD 21401-3091

Mailing address

888 Bestgate Rd
Ste 201
Annapolis, MD 21401-2953
Phone (410) 266-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160202000927 MD Order and Referring Only - DentistPractitioner - Dentist 8022312628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10502MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon L. Sheen, D.M.D., P.a. Current Accepting new patients

Locations

888 Bestgate Rd
Ste 201
Annapolis, MD 21401
Phone (410) 266-1007

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454112000000",
    "number": "1679674568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 BESTGATE RD",
            "address_2": "STE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012953",
            "telephone_number": "410-266-1007",
            "fax_number": "410-266-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BESTGATE RD",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013091",
            "telephone_number": "410-266-1007",
            "fax_number": "410-266-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEN",
        "first_name": "VERNON",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.