Ronald Glenn Sherman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6681 Issued in WA

Practice address

5825 221St PL SE
Suite #100
Issaquah, WA 98027-8927

Phone

(425) 391-4964

Fax

(425) 392-7626

NPI assigned

Apr 24, 2007

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1467671198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278927",
            "telephone_number": "425-391-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "SUITE #100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278927",
            "telephone_number": "425-391-4964",
            "fax_number": "425-392-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "RONALD",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Elizabeth Shell
• Tatyana R Shepel, PSY.D.
• Jessica Shepherd
• Nancy Lee Shepherd, COTA
• Tina Sheriff
• Sherwood Chiropractic, PS
• Kayla Joy Sherwood, M.A., L.M.H.C, C.P.C
• Mark Edward Sherwood, D.C.
• Brandon Shiflett, M.S., D.C.
• Jordan Shimomura

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.