Active NPI
Sharlene Sheriar Demehri, D.D.S
- Periodontics
- Mason, OH
National Provider Identifier
1720763535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN30.028052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.028052 | OH | MD | Periodontist |
| DN30.028052 | OH | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Prosthodontics
- Beavercreek, OH
- NPI 1790159119
-
- Periodontics
- Dayton, OH
- NPI 1063624492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.