Active NPI
Isherpreet Shergill, MD,DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Hurst, TX
National Provider Identifier
1316204696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- V8027
- Practice address
- 613 W Harwood Rd
Hurst, TX 76054-3161 - Phone
- (817) 268-4108
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38311 | TX | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | V8027 | TX | Primary |
Addresses
Primary practice location
613 W Harwood Rd
Hurst, TX 76054-3161
Mailing address
344 Cove Dr
Coppell, TX 75019-5679
Phone (312) 451-9563
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161005001429 | IL | Order and Referring Only - Oral Surgery | 4486942596 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38311 | TX | MD | Dentist |
| V8027 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarrant County Oral and Maxillofacial Surgery LLC | Current | Accepting new patients |
Locations
613 W Harwood Rd
Hurst, TX 76054
Phone (817) 268-4108
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Hurst, TX
- NPI 1225824758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1316204696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 COVE DR",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195679",
"telephone_number": "312-451-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 W HARWOOD RD",
"city": "HURST",
"state": "TX",
"postal_code": "760543161",
"telephone_number": "817-268-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERGILL",
"first_name": "ISHERPREET",
"name_prefix": "Dr.",
"credential": "MD,DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38311",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TX",
"license": "V8027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.