Michael Francis Shedlosky, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

21134 Issued in TX

Practice address

4306 Medical Pkwy
Suite 2
Austin, TX 78756-3312

Phone

(512) 454-6744

Fax

(512) 419-0133

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

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.

• Ronald D. Horne, DDS, PA

  • Oral and Maxillofacial Pathology Dentistry
  • Austin, TX
  • NPI 1952455867
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780738609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 GREEN CLIFFS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461244",
            "telephone_number": "512-454-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 MEDICAL PKWY",
            "address_2": "SUITE 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563312",
            "telephone_number": "512-454-6744",
            "fax_number": "512-419-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDLOSKY",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "21134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Shearer, OT
• Christa Shearhart, CNIM
• Kelli Shebby, RD, LD
• Ekaterina V Sheddan
• Sheden Women Health
• Jacquelyn Sheeder, OTR/L
• Kerrie Sheedy, LMSW
• Emma Sheehan, CAA
• Kathleen Mary Sheehan, LCSW
• Kerry Lee Sheehan, L.M.S.W

• Oral and Maxillofacial Surgery (Dentist) in Austin, TX
• Providers in Austin, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.