Active NPI
Paul J Sheridan, D.D.S.
- Prosthodontics
- Omaha, NE
National Provider Identifier
1902909112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 5912
- Practice address
- 14202 Y St
Omaha, NE 68137-2862 - Phone
- (402) 895-2085
- Fax
- (402) 895-3144
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5912 | NE | |
| Prosthodontics | 1223P0700X | 5912 | NE | Primary |
Addresses
Primary practice location
14202 Y St
Omaha, NE 68137-2862
Mailing address
17410 Cinnamon Cir
Omaha, NE 68135-3203
Phone (402) 614-6221
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5912 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J. Sheridan, D.D.S. , P.C. | Past | Accepting new patients | |
| Millard Hills Dental Health Center LLC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Omaha, NE
- NPI 1104390855
-
- Dentist
- Omaha, NE
- NPI 1083648232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902909112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17410 CINNAMON CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353203",
"telephone_number": "402-614-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14202 Y ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372862",
"telephone_number": "402-895-2085",
"fax_number": "402-895-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "PAUL",
"middle_name": "J",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5912",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NE",
"license": "5912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.