Individual provider Active NPI

Shera Ann Sims, D.D.S

  • Pediatric Dentistry
  • Harrisonville, MO
National Provider Identifier
1972696268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2002012231 Issued in MO
Practice address
304 Locust St
Harrisonville, MO 64701-1382
Phone
(816) 380-2222
Fax
(816) 380-2969
NPI assigned
Oct 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2002012231 MO Primary

Addresses

Primary practice location

304 Locust St
Harrisonville, MO 64701-1382

Mailing address

26419 S South Lake Dr
Harrisonville, MO 64701-1674
Phone (816) 380-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150610001746 MO Order and Referring Only - DentistPractitioner - Dentist 0840511200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002012231MOMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shera a Sims D.D.S., PC Pediatric Dentistry Past Accepting new patients
Truman Medical Center Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shera.sims@direct.tmcmed.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972696268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26419 S SOUTH LAKE DR",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011674",
            "telephone_number": "816-380-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 LOCUST ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011382",
            "telephone_number": "816-380-2222",
            "fax_number": "816-380-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SHERA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2002012231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.