Active NPI
Eddy Waller Sherman II, DDS
- Dentist
- Haynesville, LA
National Provider Identifier
1396848834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5738
- Practice address
- 9915 Hwy 79
Haynesville, LA 71038 - Phone
- (318) 624-1880
- Fax
- (318) 624-1001
- NPI assigned
- Sep 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5738 | LA | Primary |
Addresses
Primary practice location
9915 Hwy 79
Haynesville, LA 71038
Mailing address
PO Box 188
9915 Hwy 79
Haynesville, LA 71038
Phone (318) 624-1880
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5738 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396848834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"address_2": "9915 HWY 79",
"city": "HAYNESVILLE",
"state": "LA",
"postal_code": "71038",
"telephone_number": "318-624-1880",
"fax_number": "318-624-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 HWY 79",
"city": "HAYNESVILLE",
"state": "LA",
"postal_code": "71038",
"telephone_number": "318-624-1880",
"fax_number": "318-624-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "EDDY",
"middle_name": "WALLER",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "5738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haynesville, LA
- Kilgore Pharmacy LLC (Killgore Pharmacy)
- Jacinda Meadors
- Sandra Killgore Meisler, PH
- Moseley E Mellinger, LPC, NCC
- Samantha Modisette
- Springhill Medical Services, Inc. (Butler-Abshire Medical Clinic)
- Ted S Pharmacy LLC (Ted's Pharmacy)
- Ted's Pharmacy
- Tri-State Health Services of Cenla, LLC (Heritage Nursing Center)
- Dan Thomas Ware, RPH
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.