Organization Active NPI

Michael a. Sherman DDS PA

Doing business as Park Avenue Dental

  • Dental Clinic/Center
  • Orange Park, FL
National Provider Identifier
1184360620
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL A. SHERMAN DDS PA
Doing business as
Park Avenue Dental
Practice address
2233 Park Ave Ste 401
Orange Park, FL 32073-5569
Phone
(904) 269-5520
Fax
(904) 215-0071
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Dr. Michael A Sherman, DDSNPI 1235104944
Title
President/Owner
Phone
(904) 269-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2233 Park Ave Ste 401
Orange Park, FL 32073-5569

Mailing address

2233 Park Ave Ste 401
Orange Park, FL 32073-5569
Phone (904) 269-5520

Other names 1

  • Park Avenue Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2233 Park Ave
Ste 401
Orange Park, FL 32073
Phone (904) 269-5520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1184360620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 PARK AVE STE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735569",
            "telephone_number": "904-269-5520",
            "fax_number": "904-215-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 PARK AVE STE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735569",
            "telephone_number": "904-269-5520",
            "fax_number": "904-215-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. SHERMAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-269-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.