NPIMap

Individual provider Active NPI

Sasha W Sherry

  • General Practice Dentistry
  • Shenandoah, PA
National Provider Identifier
1134613235
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041749 Issued in PA
Practice address
10 S Bower St
Shenandoah, PA 17976-2375
Phone
(570) 462-0417
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041749 PA Primary

Addresses

Primary practice location

10 S Bower St
Shenandoah, PA 17976-2375

Mailing address

10 S Bower St
Shenandoah, PA 17976-2375
Phone (570) 462-4200

Other practice location 1

15 S B St
Mahanoy City, PA 17948-2569
Phone (570) 773-2700

Other practice location 2

757 Fredericks Grove Rd
Lehighton, PA 18235-9716
Phone (570) 386-6910

Other names 1

  • Sasha Sherry DMD Professional name

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
DS041749PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indiju 6 Dental LLC PastSince Feb 13, 2022 Accepting new patients
Joseph C. Lobichusky, DDS Associates General Practice Past Accepting new patients
Sherry Dental PC General Practice Past Accepting new patients

Organizations & group practices 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1134613235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S BOWER ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179762375",
            "telephone_number": "570-462-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S BOWER ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179762375",
            "telephone_number": "570-462-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 S B St",
            "address_purpose": "LOCATION",
            "city": "Mahanoy City",
            "state": "PA",
            "postal_code": "179482569",
            "country_code": "US",
            "telephone_number": "570-773-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Fredericks Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Lehighton",
            "state": "PA",
            "postal_code": "182359716",
            "country_code": "US",
            "telephone_number": "570-386-6910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "SASHA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "SHERRY DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shenandoah, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.