Active NPI
Sarah Marie McSherry, DMD
- Dentist
- Fort Drum, NY
National Provider Identifier
1568957694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858076
- Practice address
- 10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503 - Phone
- (315) 772-5576
- NPI assigned
- Jul 1, 2018
- Last updated
- Oct 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858076 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Mailing address
23615 Woodland Dr
Watertown, NY 13601-5887
Phone (617) 750-6652
Other practice location 1
23615 Woodland Dr
Watertown, NY 13601-5887
Phone (617) 750-6652
Other names 1
- Miss Sarah Marie Detore
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858076 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Ahc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Usadc Stone-Drum
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Drum, NY
- NPI 1740486091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571529600000",
"number": "1568957694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23615 WOODLAND DR",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015887",
"telephone_number": "617-750-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 ENDURING FREEDOM DR",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136025503",
"telephone_number": "315-772-5576"
}
],
"practiceLocations": [
{
"address_1": "23615 Woodland Dr",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "NY",
"postal_code": "136015887",
"country_code": "US",
"telephone_number": "617-750-6652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCSHERRY",
"first_name": "SARAH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-01",
"last_updated": "2019-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858076",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "DETORE",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.