Individual provider Active NPI

Melanie Ruth Sheils, DDS

  • General Practice Dentistry
  • Beverly Hills, MI
National Provider Identifier
1770677221
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016594 Issued in MI
Practice address
19710 W 13 Mile Rd
#103
Beverly Hills, MI 48025-5168
Phone
(248) 417-2187
NPI assigned
Oct 2, 2006
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16594 MI
General Practice Dentistry 1223G0001X 2901016594 MI Primary

Addresses

Primary practice location

19710 W 13 Mile Rd
#103
Beverly Hills, MI 48025-5168

Mailing address

19710 W 13 Mile Rd
#103
Beverly Hills, MI 48025-5168
Phone (248) 417-2187

Other identifiers 1

IdentifierTypeStateIssuer
4935792MedicaidMI

Other names 1

  • Dr. Melanie Sheils Vergeldt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16594MIMDGeneral Practice Dentistry
2901016594MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1770677221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 W 13 MILE RD",
            "address_2": "#103",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255168",
            "telephone_number": "248-417-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 W 13 MILE RD",
            "address_2": "#103",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255168",
            "telephone_number": "248-417-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEILS",
        "first_name": "MELANIE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16594",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4935792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "VERGELDT",
            "middle_name": "SHEILS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.