Organization Active NPI

John Sherry DPM PLC

  • Primary Podiatric Medicine Podiatrist
  • Iowa City, IA
National Provider Identifier
1336509454
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
IA00426 Issued in IA
Legal business name
JOHN SHERRY DPM PLC
Practice address
1505 Mall Dr
Iowa City, IA 52240-3111
Phone
(319) 337-2135
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
John Sherry, DPMNPI 1710968896
Title
Podiatrist
Phone
(319) 331-5194

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X IA00426 IA Primary

Addresses

Primary practice location

1505 Mall Dr
Iowa City, IA 52240-3111

Mailing address

1505 Mall Dr
Iowa City, IA 52240-3111
Phone (319) 337-2135

Other identifiers 3

IdentifierTypeStateIssuer
3715OtherMIDLANDS CHOICE
0217356MedicaidIA
21735OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160401000297 IA Part B Supplier - Clinic/Group Practice 2062719271 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

1505 Mall Dr
Iowa City, IA 52240
Phone (319) 337-2135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1336509454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MALL DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403111",
            "telephone_number": "319-337-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MALL DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403111",
            "telephone_number": "319-337-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SHERRY DPM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "319-331-5194",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IA",
            "license": "IA00426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "3715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217356",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.