Individual provider Active NPI

Stewart Elliott Sherman, D.C.

  • Chiropractor
  • Dillon, SC
National Provider Identifier
1497778070
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3090 Issued in SC
Practice address
200 W Harrison St
Suite D
Dillon, SC 29536-3331
Phone
(843) 632-1551
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3090 SC Primary

Addresses

Primary practice location

200 W Harrison St
Suite D
Dillon, SC 29536-3331

Mailing address

200 W Harrison St
Suite D
Dillon, SC 29536-3331
Phone (843) 632-1551

Other identifiers 1

IdentifierTypeStateIssuer
030574863OtherSCBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
3090SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Solutions PastSince Jan 1, 1990 Accepting new patients
Roff and Sherman Chiropractic Chiropractor PastSince Feb 1, 2008 Accepting new patients
Roff - Nodrick Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1497778070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST",
            "address_2": "SUITE D",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363331",
            "telephone_number": "843-632-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HARRISON ST",
            "address_2": "SUITE D",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363331",
            "telephone_number": "843-632-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "STEWART",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "030574863",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

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