Organization Active NPI

Beryl R Sherman DDS Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leola, PA
National Provider Identifier
1144323932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS013078L Issued in PA
Legal business name
BERYL R SHERMAN DDS ASSOCIATES
Practice address
17 Zimmerman Rd
Leola, PA 17540-1949
Phone
(717) 656-3206
Fax
(717) 392-0385
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Beryl R Sherman, DDS
Title
President
Phone
(717) 392-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X DS013078L PA Primary

Addresses

Primary practice location

17 Zimmerman Rd
Leola, PA 17540-1949

Mailing address

1211 Valley Road
Lancaster, PA 17603-2506
Phone (717) 392-6092

National Provider Directory

National Provider Directory

Locations

17 Zimmerman Rd
Leola, PA 17540
Phone (717) 656-3206

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144323932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 VALLEY ROAD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032506",
            "telephone_number": "717-392-6092",
            "fax_number": "713-392-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ZIMMERMAN RD",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175401949",
            "telephone_number": "717-656-3206",
            "fax_number": "717-392-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERYL R SHERMAN DDS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "BERYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-392-6092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS013078L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.