Active NPI
David John Sherrard, DDS
- General Practice Dentistry
- Davenport, IA
National Provider Identifier
1407914385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 09621
- Practice address
- 5270 Elmore Ave
Davenport, IA 52807-3437 - Phone
- (563) 209-9000
- NPI assigned
- Dec 5, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7505 | WA | |
| General Practice Dentistry | 1223G0001X | 4862 | AZ | |
| General Practice Dentistry | 1223G0001X | 1002237 | WI | |
| General Practice Dentistry | 1223G0001X | 09621 | IA | Primary |
Addresses
Primary practice location
5270 Elmore Ave
Davenport, IA 52807-3437
Mailing address
2366 39TH St
Rock Island, IL 61201-5143
Phone (253) 921-4770
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ApenDental | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4862 | AZ | MD | General Practice Dentistry |
| 09621 | IA | MD | General Practice Dentistry |
| 7505 | WA | MD | General Practice Dentistry |
| 1002237 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1407914385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2366 39TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015143",
"telephone_number": "253-921-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 ELMORE AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073437",
"telephone_number": "563-209-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRARD",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7505",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4862",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002237",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "09621",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ApenDental",
"affiliation": "N",
"endpointDescription": "DentalOffice",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5270 Elmore Ave",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528073437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.