Individual provider Active NPI

Sharlene Sheriar Demehri, D.D.S

  • Periodontics
  • Mason, OH
National Provider Identifier
1720763535
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN30.028052 Issued in OH
Practice address
5138 Cedar Village Drive, Harris and Loughridge Peirodo
Mason, OH 45040
Phone
(513) 336-8100
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 30.028052 OH
Periodontics 1223P0300X DN30.028052 OH Primary

Addresses

Primary practice location

5138 Cedar Village Drive, Harris and Loughridge Peirodo
Mason, OH 45040

Mailing address

5138 Cedar Village Drive
Mason, OH 45040
Phone (513) 336-8100

Other practice location 1

1205 Meadow Bridge Dr
Beavercreek, OH 45434-6380
Phone (937) 426-5411

Other practice location 2

7100 Corporate Way
Centerville, OH 45459-4283
Phone (937) 435-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 11, 2024 through Jul 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.028052OHMDPeriodontist
DN30.028052OHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert T. Jensen D.D.S., M.S., Inc. Periodontics Past Accepting new patients
Miami Valley Prosthodontics Valerie Cooper DDS Ms LLC Past Accepting new patients

Organizations & group practices 2

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1720763535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5138 CEDAR VILLAGE DRIVE",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-336-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 CEDAR VILLAGE DRIVE, HARRIS AND LOUGHRIDGE PEIRODO",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-336-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Meadow Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454346380",
            "country_code": "US",
            "telephone_number": "937-426-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 Corporate Way",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594283",
            "country_code": "US",
            "telephone_number": "937-435-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMEHRI",
        "first_name": "SHARLENE",
        "middle_name": "SHERIAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2025-08-26",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "30.028052",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "DN30.028052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.