Chad Richard Sheron, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009023 Issued in WA

Practice address

1200 NE 99TH St
Vancouver, WA 98665-8909

Phone

(360) 573-8181

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WA

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

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.

• Richard C. Sheron DMD PS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1053409961
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851500714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 NW 53RD AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851590",
            "telephone_number": "360-571-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 99TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658909",
            "telephone_number": "360-573-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERON",
        "first_name": "CHAD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Sheridan, LMHC, MA
• Kathryn Elizabeth Sherman, DC
• Jamee Shermer, MA
• Adam Sheron, DMD
• Catherine Sheron
• Richard Sheron, DMD
• Dadiki Sherpa, PA
• Jocelynn Elyssa Sherrill
• Jillian E. Sherrodd Wing, SLP
• Sherwood Adult Family Home, LLC

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.