Susan Ann Sheets, DDS

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

36196 Issued in CA

Practice address

131 W Grand Ave Ste B2
El Segundo, CA 90245-4243

Phone

(628) 758-7563

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

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.

• Susan a Sheets DDS a Professional Dental Corporation

  • Orofacial Pain Dentistry
  • El Segundo, CA
  • NPI 1922488352

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1730193517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 S WESTERN AVE STE 109",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324643",
            "telephone_number": "310-832-2657",
            "fax_number": "310-832-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W GRAND AVE STE B2",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454243",
            "telephone_number": "628-758-7563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 S Western Ave",
            "address_2": "109",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907324643",
            "country_code": "US",
            "telephone_number": "310-832-2657",
            "fax_number": "310-832-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36196",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "36196",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "36196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Shaw
• Jason Shaw
• Audrey Shawver
• Nadia Shea
• Makenna Sheehan
• Baileigh Sheffield
• Sofia Sheibani
• Ruweda Sheikh
• Sarah Sheikhali
• Tatiana Shemiakina

• Orofacial Pain Dentistry in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Orofacial Pain Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.