Organization Active NPI

Jack E. Sherman, D.D.S. a Professional Corporation

  • Dentist
  • San Francisco, CA
National Provider Identifier
1154411239
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23758 Issued in CA
Legal business name
JACK E. SHERMAN, D.D.S. A PROFESSIONAL CORPORATION
Practice address
6332 Geary Blvd
San Francisco, CA 94121-1824
Phone
(415) 668-0680
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Jack E. Sherman, D.D.S.
Title
President
Phone
(415) 517-3947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23758 CA Primary

Addresses

Primary practice location

6332 Geary Blvd
San Francisco, CA 94121-1824

Mailing address

6332 Geary Blvd
San Francisco, CA 94121-1824
Phone (415) 668-0680

National Provider Directory

National Provider Directory

Locations

6332 Geary Blvd
San Francisco, CA 94121
Phone (415) 668-0680

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1154411239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211824",
            "telephone_number": "415-668-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211824",
            "telephone_number": "415-668-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK E. SHERMAN, D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-517-3947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "23758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.