Individual provider Active NPI

Sharon Kennedy Hosea, D.D.S.

  • Dentist
  • Clawson, MI
National Provider Identifier
1780897892
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901015045 Issued in MI
Practice address
635 West 14 Mile Road
Clawson, MI 48017
Phone
(248) 288-6070
Fax
(248) 288-1315
NPI assigned
May 7, 2007
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901015045 MI Primary
General Practice Dentistry 1223G0001X 15045 MI

Addresses

Primary practice location

635 West 14 Mile Road
Clawson, MI 48017

Mailing address

635 West 14 Mile Road
Clawson, MI 48017
Phone (248) 288-6070

Other names 1

  • Sharon Hosea Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150803002087 MI Order and Referring Only - DentistPractitioner - Dentist 9830403922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15045MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clawson Family Dental, PLLC Dentist PastSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1780897892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 WEST 14 MILE ROAD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-288-6070",
            "fax_number": "248-288-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 WEST 14 MILE ROAD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-288-6070",
            "fax_number": "248-288-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEA",
        "first_name": "SHARON",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015045",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HOSEA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.