Individual provider Active NPI

Sheldon M Sealey, DMD

  • Endodontics
  • Elk Grove, CA
National Provider Identifier
1821301201
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
104914 Issued in CA
Practice address
9323 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7839
Phone
(916) 689-7837
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 104914 CA Primary

Addresses

Primary practice location

9323 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7839

Mailing address

9323 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7839
Phone (916) 689-7837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160222001889 NY Order and Referring Only - DentistPractitioner - Dentist 2062724040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Reeves, Reeves Specialty Dental Corporation CurrentSince Nov 12, 2023 Accepting new patients
Aaron Reeves, Reeves Specialty Dental Corporation CurrentSince Nov 12, 2023 Accepting new patients

Locations

9323 Laguna Springs Dr
Ste 100
Elk Grove, CA 95758
Phone (916) 689-7837

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1821301201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9323 LAGUNA SPRINGS DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587839",
            "telephone_number": "916-689-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 LAGUNA SPRINGS DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587839",
            "telephone_number": "916-689-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALEY",
        "first_name": "SHELDON",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "104914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.