Active NPI
Dominique Sherrow
- Other Technician
- Blanding, UT
National Provider Identifier
1063920221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 735 S 200 W Ste 1
Blanding, UT 84511-3909 - Phone
- (435) 678-2992
- Fax
- (435) 678-3116
- NPI assigned
- Jan 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
735 S 200 W Ste 1
Blanding, UT 84511-3909
Mailing address
735 S 200 W Ste 1
Blanding, UT 84511-3909
Phone (435) 678-2992
Other names 1
- Dominique Bowring
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1063920221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 S 200 W STE 1",
"city": "BLANDING",
"state": "UT",
"postal_code": "845113909",
"telephone_number": "435-678-2992",
"fax_number": "435-678-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S 200 W STE 1",
"city": "BLANDING",
"state": "UT",
"postal_code": "845113909",
"telephone_number": "435-678-2992",
"fax_number": "435-678-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERROW",
"first_name": "DOMINIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIQUE",
"last_name": "BOWRING",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Blanding, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.