Dustin De'Wayne Sheets, PRESIDENT-CEO / IDE

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

0480-12-5874 Issued in IN

Practice address

1020 Hosbrook St
Suite D
Indianapolis, IN 46203-1067

Phone

(317) 646-8105

NPI assigned

Jun 24, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1871975029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HOSBROOK ST",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031067",
            "telephone_number": "317-646-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HOSBROOK ST",
            "address_2": "SUITE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031067",
            "telephone_number": "317-646-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "DUSTIN",
        "middle_name": "DE'WAYNE",
        "name_prefix": "Mr.",
        "credential": "PRESIDENT-CEO / IDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IN",
            "license": "0480-12-5874",
            "primary": true
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "IN",
            "license": "QMA1400100",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "HHA1204113",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "CNA0605779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Aida Sheehan, MD
• Kevin Christopher Sheehan, PHARMD
• Vasu Sheel, MD
• Madilyn Alexandra Sheerer, RD
• Broc Sheets, DC
• Margot K Sheets, N.P.
• Michele Diane Sheets, P.T.
• Morgan Sheets, L.M.T
• Nicole Sheets, MSW, LCSW
• Paul W Sheets, MD

• Private Vehicle in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Private Vehicle in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.