F. Michael Sheehan III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019214 Issued in IL

Practice address

11901 S 80TH Ave
Suite D
Palos Park, IL 60464-3102

Phone

(708) 671-1510

Fax

(708) 671-1643

NPI assigned

Apr 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

State licenses

Practice roles

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.

• F. Michael Sheehan DDS LTD

  • General Practice Dentistry
  • Palos Park, IL
  • NPI 1417019555
  NPD (past) Authorized official
• Nancy Donna Cozzi DDS & Isra Z Hamad DDS LLC

  • General Practice Dentistry
  • Palos Park, IL
  • NPI 1235095522
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1679747562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 S 80TH AVE",
            "address_2": "SUITE D",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643102",
            "telephone_number": "708-671-1510",
            "fax_number": "708-671-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 S 80TH AVE",
            "address_2": "SUITE D",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643102",
            "telephone_number": "708-671-1510",
            "fax_number": "708-671-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "F.",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Nagib Ab Sayed, PT
• Timothy George Schnell, M.D.
• Sarah Schnick, NP
• Jennifer Lynn Serritella, DEVELOPMENTAL THERAP
• Rubin B Shah, PHARM D
• Blessing Short, PA-C
• Beena Valiaparampil Skaria, D.D.S.
• Brian G Smith, DMD
• Southwest Pediatrics, LTD.
• Stacy a Phelps LTD (Phelps Chiropractic Center)

• General Practice Dentistry in Palos Park, IL
• Providers in Palos Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.