Individual provider Active NPI

Timothy J. Sheehan, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Omaha, NE
National Provider Identifier
1992800064
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5813 Issued in NE
Practice address
8901 Indian Hills Drive
Suite 250
Omaha, NE 68114-4033
Phone
(402) 558-0035
Fax
(402) 558-0036
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5813 NE Primary

Addresses

Primary practice location

8901 Indian Hills Drive
Suite 250
Omaha, NE 68114-4033

Mailing address

8901 Indian Hills Drive
Suite 250
Omaha, NE 68114-4033
Phone (402) 558-0035

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5813NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NE Specialty Dental Services LLC Orthodontics and Dentofacial Orthopedics PastSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1992800064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DRIVE",
            "address_2": "SUITE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144033",
            "telephone_number": "402-558-0035",
            "fax_number": "402-558-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DRIVE",
            "address_2": "SUITE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144033",
            "telephone_number": "402-558-0035",
            "fax_number": "402-558-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NE",
            "license": "5813",
            "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 5, 2012; 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.