Individual provider Active NPI

Robert Lee Sherrick II, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1568807188
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1755 Issued in NE
Practice address
5834 S 142ND St
Omaha, NE 68137-2897
Phone
(402) 452-3400
Fax
(402) 542-3401
NPI assigned
May 9, 2013
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1755 NE Primary

Addresses

Primary practice location

5834 S 142ND St
Omaha, NE 68137-2897

Mailing address

5834 S 142ND St
Omaha, NE 68137-2897
Phone (402) 452-3400

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
1755NEMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1568807188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372897",
            "telephone_number": "402-452-3400",
            "fax_number": "402-452-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 S 142ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372897",
            "telephone_number": "402-452-3400",
            "fax_number": "402-542-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRICK",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.