Individual provider Active NPI

Kevin Daniel Sherman, D.C

  • Sports Physician Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1043277106
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
7301 Issued in AZ
Practice address
9070 E. Desert Cove Dr.
Suite B-106
Scottsdale, AZ 85260-6228
Phone
(480) 390-9730
Fax
(480) 483-4655
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 7301 AZ Primary
Sports Physician Chiropractor 111NS0005X DC28427 CA

Addresses

Primary practice location

9070 E. Desert Cove Dr.
Suite B-106
Scottsdale, AZ 85260-6228

Mailing address

9070 E. Desert Cove Dr.
Suite B-106
Scottsdale, AZ 85260-6228
Phone (480) 390-9730

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

State licenses

LicenseStateTypeSpecialty
DC28427CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ironcare, Inc. Sports Physician Past 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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1043277106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 E. DESERT COVE DR.",
            "address_2": "SUITE B-106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606228",
            "telephone_number": "480-390-9730",
            "fax_number": "480-483-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E. DESERT COVE DR.",
            "address_2": "SUITE B-106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606228",
            "telephone_number": "480-390-9730",
            "fax_number": "480-483-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KEVIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "7301",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC28427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.