Individual provider Active NPI

Sherwin Alan Kevy, D.D.S.

  • Dentist
  • Montgomery Village, MD
National Provider Identifier
1346274388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8584 Issued in MD
Practice address
19221 Montgomery Village Ave
Suite C-24
Montgomery Village, MD 20886-5022
Phone
(301) 921-1021
Fax
(301) 990-0642
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

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
Dentist 122300000X 8584 MD Primary

Addresses

Primary practice location

19221 Montgomery Village Ave
Suite C-24
Montgomery Village, MD 20886-5022

Mailing address

19221 Montgomery Village Ave
Suite C-24
Montgomery Village, MD 20886-5022
Phone (301) 921-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8584MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwin a Kevy DDS PC Dentist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346274388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE C-24",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865022",
            "telephone_number": "301-921-1021",
            "fax_number": "301-990-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE C-24",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865022",
            "telephone_number": "301-921-1021",
            "fax_number": "301-990-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVY",
        "first_name": "SHERWIN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "8584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.