Active NPI
John Joseph Sheehan, DMD
- Dentist
- Daytona Beach, FL
National Provider Identifier
1831421643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7600
- Practice address
- 156 Mallard LN
Daytona Beach, FL 32119-8330 - Phone
- (386) 322-7103
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7600 | FL | Primary |
Addresses
Primary practice location
156 Mallard LN
Daytona Beach, FL 32119-8330
Mailing address
156 Mallard LN
Daytona Beach, FL 32119-8330
Phone (386) 322-7103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7600 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1831421643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 MALLARD LN",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321198330",
"telephone_number": "386-322-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 MALLARD LN",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321198330",
"telephone_number": "386-322-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "7600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.