Organization Active NPI

Jason Sherman DDS, a Dental Corporation

  • Dentist
  • Greenbrae, CA
National Provider Identifier
1477833572
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55554 Issued in CA
Legal business name
JASON SHERMAN DDS, A DENTAL CORPORATION
Practice address
1321 S Eliseo Dr
Greenbrae, CA 94904-2024
Phone
(323) 972-8076
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Jason Sherman, D.D.S.
Title
Ceo
Phone
(323) 972-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55554 CA Primary

Addresses

Primary practice location

1321 S Eliseo Dr
Greenbrae, CA 94904-2024

Mailing address

1321 S Eliseo Dr
Greenbrae, CA 94904-2024
Phone (323) 972-8076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1477833572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042024",
            "telephone_number": "323-972-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S ELISEO DR",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042024",
            "telephone_number": "323-972-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SHERMAN DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-972-8076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.