Individual provider Active NPI

Sherwin B. Pevaroff, DDS, MS.

  • Oral and Maxillofacial Surgery (Dentist)
  • Asheville, NC
National Provider Identifier
1588734313
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8151 Issued in NC
Practice address
247 Biltmore Ave
Asheville, NC 28801-4107
Phone
(828) 350-1076
NPI assigned
Nov 9, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8151 NC Primary

Addresses

Primary practice location

247 Biltmore Ave
Asheville, NC 28801-4107

Mailing address

17 Panther Ridge Rd
Hendersonville, NC 28792-9291
Phone (828) 712-0001

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8151NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael Rivera, Jr., DDS, PLLC Past Accepting new patients
Ballance & Derose DDS PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1588734313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PANTHER RIDGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929291",
            "telephone_number": "828-712-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014107",
            "telephone_number": "828-350-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVAROFF",
        "first_name": "SHERWIN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.