Individual provider Active NPI

Jason Leslie Sherman, D.C.

  • Chiropractor
  • Marshall, MN
National Provider Identifier
1336177690
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3861 Issued in MN
Practice address
902 W College Dr
Marshall, MN 56258-1673
Phone
(507) 532-3803
Fax
(507) 532-3805
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3861 MN Primary

Addresses

Primary practice location

902 W College Dr
Marshall, MN 56258-1673

Mailing address

902 W College Dr
Marshall, MN 56258-1673
Phone (507) 532-3803

Other identifiers 2

IdentifierTypeStateIssuer
27G84SHOtherMNBCBS
22414OtherMNSVHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000284 MN Practitioner - Chiropractic 6406950203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

902 W College Dr
Marshall, MN 56258-1673
Phone (507) 532-3803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3861MNMDMarriage & Family Therapist
DC3861MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Luverne Health & Wellness Chiropractor CurrentSince Jul 1, 2012 Accepting new patients
Sherman Chiropractic and Rehabilitation Chiropractor CurrentSince Aug 8, 2000 Accepting new patients
Redwood Health & Wellness Chiropractor PastSince Aug 8, 2000 Accepting new patients

Locations

109 S Freeman Ave
Luverne, MN 56156
Phone (507) 283-9484

902 W College Dr
Marshall, MN 56258
Phone (507) 532-3803

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336177690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581673",
            "telephone_number": "507-532-3803",
            "fax_number": "507-532-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581673",
            "telephone_number": "507-532-3803",
            "fax_number": "507-532-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JASON",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC3861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27G84SH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SVHP",
            "identifier": "22414",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.