Jaclyn Sheehan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858280 Issued in MA

Practice address

380 Merrimack St Ste 3E
Methuen, MA 01844-5871

Phone

(978) 685-2511

NPI assigned

Apr 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Locations

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.

• Pleasant Valley Dental Health PLLC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1568325223
  NPD
• Pleasant Valley Dental Health, PC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1164433215
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1790349777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MARIANNA RD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792094",
            "telephone_number": "603-401-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MERRIMACK ST STE 3E",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445871",
            "telephone_number": "978-685-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 East St",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019491506",
            "country_code": "US",
            "telephone_number": "978-817-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Shah
• Vaidehi Shah
• Shalom Care Services,LLC (Relief Agency)
• Sharda Kaul, M.D., P.C.
• Katie E. Shean, M.D.
• Keara Sheehan
• Umair Sheikh, M.D.
• Nicole Sherwood
• Shine Psychiatry
• Shreeji Dental PC

• General Practice Dentistry in Methuen, MA
• Providers in Methuen, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.