Individual provider Active NPI

Dan G Sherwood, CO

  • Orthotist
  • Rochester, NY
National Provider Identifier
1417018797
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
The Foot Performance Center
3385 Brighton Henrietta TLR
Rochester, NY 14623
Phone
(585) 473-5950
Fax
(585) 473-9596
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X Primary

Addresses

Primary practice location

The Foot Performance Center
3385 Brighton Henrietta TLR
Rochester, NY 14623

Mailing address

3385 Brighton Hen TL Rd
Rochester, NY 14623-2813
Phone (585) 473-5950

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Foot Performance Center, Inc. Orthotist Current Accepting new patients

Locations

3385 Brighton Henrietta Town Line Rd
Rochester, NY 14623
Phone (585) 473-5950

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1417018797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BRIGHTON HEN TL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232813",
            "telephone_number": "585-473-5950",
            "fax_number": "585-473-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE FOOT PERFORMANCE CENTER",
            "address_2": "3385 BRIGHTON HENRIETTA TLR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-473-5950",
            "fax_number": "585-473-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "DAN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.