Organization Active NPI

David J. Sherrick D.D.S.,P.C.

  • Dental Clinic/Center
  • Queensbury, NY
National Provider Identifier
1417040783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
031936 Issued in NY
Legal business name
DAVID J. SHERRICK D.D.S.,P.C.
Practice address
21 Baywood Dr
Queensbury, NY 12804-5822
Phone
(518) 792-6756
NPI assigned
Oct 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David John Sherrick, DDS
Title
President
Phone
(518) 792-6756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 031936 NY Primary

Addresses

Primary practice location

21 Baywood Dr
Queensbury, NY 12804-5822

Mailing address

21 Baywood Dr
Queensbury, NY 12804-5822
Phone (518) 792-6756

National Provider Directory

National Provider Directory

Locations

21 Baywood Dr
Queensbury, NY 12804
Phone (518) 792-6756

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": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417040783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BAYWOOD DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045822",
            "telephone_number": "518-792-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BAYWOOD DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045822",
            "telephone_number": "518-792-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. SHERRICK D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-792-6756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "031936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.