Michael A Sherman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14378 Issued in FL

Practice address

2233 Park Ave
Suite 401
Orange Park, FL 32073-5570

Phone

(904) 269-5520

Fax

(904) 215-0071

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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 FL

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

Locations

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.

• Michael a. Sherman DDS PA

  dba Park Avenue Dental

  • Dental Clinic/Center
  • Orange Park, FL
  • NPI 1184360620
  NPD Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1235104944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 PARK AVE",
            "address_2": "SUITE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735570",
            "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",
            "address_2": "SUITE 401",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735570",
            "telephone_number": "904-269-5520",
            "fax_number": "904-215-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly L. Hall M.D., P.a. (Island Pediatrics)
• Susan M Shepherd, LCSW
• Hailey Caroline Sheppard, MS CF-SLP
• Sheridan Healthcorp Inc
• Sheridan Healthcorp Inc
• Matt Shields, DC
• Shine Forever Home Healthcare Agency LLC
• Paul David Shirley, M.D.
• Lawrence Wayne Shivertaker, MD
• Meena Haitham Sholji, DMD

• General Practice Dentistry in Orange Park, FL
• Providers in Orange Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.