NPIMap

Organization Active NPI

Jimmy B Sheats D.D.S., P.C.

Doing business as Sheats Endodontic Group

  • Endodontics
  • Nashville, TN
National Provider Identifier
1972680718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7807 Issued in TN
Legal business name
JIMMY B SHEATS D.D.S., P.C.
Doing business as
Sheats Endodontic Group
Practice address
1915 Charlotte Ave
Suite 205
Nashville, TN 37203-2130
Phone
(615) 320-0099
Fax
(615) 825-0006
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jimmy B Sheats, D.D.S.NPI 1679662829
Title
President
Phone
(615) 320-0099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 2957 TN
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 7716 TN
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 7807 TN Primary

Addresses

Primary practice location

1915 Charlotte Ave
Suite 205
Nashville, TN 37203-2130

Mailing address

1915 Charlotte Ave
Suite 205
Nashville, TN 37203-2130
Phone (615) 320-0099

Other identifiers 3

IdentifierTypeStateIssuer
0005116MedicaidTN
5440915MedicaidTN
5440917MedicaidTN

Other names 1

  • Sheats Endodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

1915 Charlotte Ave
Ste 205
Nashville, TN 37203
Phone (615) 320-0099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972680718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CHARLOTTE AVE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032130",
            "telephone_number": "615-320-0099",
            "fax_number": "615-825-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 CHARLOTTE AVE",
            "address_2": "SUITE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032130",
            "telephone_number": "615-320-0099",
            "fax_number": "615-825-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY B SHEATS D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEATS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-320-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "2957",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "7716",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005116",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440915",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440917",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheats Endodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.