Paul E Sheils

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10405 Issued in MN

Practice address

9075 Quaday Ave NE
Suite 101
Otsego, MN 55330-6653

Phone

(765) 441-2452

NPI assigned

Nov 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 23, 2024 through Feb 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Minnesota Dental Implants

  dba MN Center for Dental Care

  • Dental Clinic/Center
  • Otsego, MN
  • NPI 1386312411
  NPD (past) Authorized official
• Otsego Dental

  • Dentist
  • Otsego, MN
  • NPI 1962676825
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801961073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 QUADAY AVE NE",
            "address_2": "SUITE 101",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306653",
            "telephone_number": "765-441-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 QUADAY AVE NE",
            "address_2": "SUITE 101",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306653",
            "telephone_number": "765-441-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEILS",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Schmoyer
• Lindsey Ann Schue, BS
• Jill Schultz, O.D.
• Dana Marie Seelen, MA, LPCC
• Amber Rose Sellin, MA
• Kami Simmons, NP
• Darcy Skjei, OTR-L
• Smart Care Home Health
• Lisa A Smith, OTR/L, CHT
• Rachel Anne Sobolewski, MA, LPCC

• General Practice Dentistry in Otsego, MN
• Providers in Otsego, MN by specialty
• General Practice Dentistry in Minnesota

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.