Jerry M Shehane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10638 Issued in TX

Practice address

1780 Northwest Hwy
Ste 150
Garland, TX 75041-5220

Phone

(903) 758-5921

NPI assigned

Jan 2, 2014

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Cliff Dental Center

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1922480417
  NPD (past)

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1700207123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 SHADOW MOSS WAY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073909",
            "telephone_number": "214-334-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NORTHWEST HWY",
            "address_2": "STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415220",
            "telephone_number": "903-758-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHANE",
        "first_name": "JERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "10638",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Virginia Shearer
• Sheena Health Care Services Inc
• Mitul M Sheera, MD
• Sheevon Health Care Services Inc
• Nataliya Shef, PHARMD
• Rhonda Sheikha
• Crosbi Shelby, DDS
• Hailey Shelton, LPC-ASSOCIATE
• Yuenan Shen, MD
• Osama Shenouda, PTA

• General Practice Dentistry in Garland, TX
• Providers in Garland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.