Brian Francis Sherwin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

638 E State Rd
Island Lake, IL 60042-8218

Phone

(847) 487-1166

Fax

(847) 487-8431

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gentle Dental of Island Lake LTD

  • General Practice Dentistry
  • Island Lake, IL
  • NPI 1992768923
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1194938415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 E STATE RD",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428218",
            "telephone_number": "847-487-1166",
            "fax_number": "847-487-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E STATE RD",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428218",
            "telephone_number": "847-487-1166",
            "fax_number": "847-487-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWIN",
        "first_name": "BRIAN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savor in Growth PLLC
• Kevin Schultz
• Angela Serritella, LCSW
• Elizabeth Ann Shanahan, LMT
• Sheltering Oak
• Paulina Stephens, PSY D
• Marcia Suelzer, L.P.C.
• Amy Elizabeth Toczyski
• Jennifer Valice, LCSW
• Casey J Venard, PTA

• General Practice Dentistry in Island Lake, IL
• Providers in Island Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.