Individual provider Active NPI

Robert Sherman, D.C.

  • Chiropractor
  • Green Valley, AZ
National Provider Identifier
1063580348
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8761 Issued in AZ
Practice address
512 E Whitehouse Canyon Rd Ste 100
Green Valley, AZ 85614-0551
Phone
(520) 367-4646
Fax
(520) 203-7346
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

512 E Whitehouse Canyon Rd
Suite 100
Green Valley, AZ 85614-0551
Phone (503) 841-3347

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190327001320 AZ Practitioner - Chiropractic 0345130688 Practice locations: Green Valley, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8761AZMDChiropractor
1422ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Hugon Chiropractic, P.C. Chiropractor PastSince Jun 13, 1997 Accepting new patients
Bryan T McConnell DO PLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8761 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

512 E Whitehouse Canyon Rd Ste 100
Green Valley, AZ 85614-0551

Mailing address

723 N Copper View Dr
Green Valley, AZ 85614-5811
Phone (520) 367-4646

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2022.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1063580348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N COPPER VIEW DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145811",
            "telephone_number": "520-367-4646",
            "fax_number": "520-203-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WHITEHOUSE CANYON RD STE 100",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140551",
            "telephone_number": "520-367-4646",
            "fax_number": "520-203-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.