Organization Active NPI

Markus Sherry DMD PA

  • Dental Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1609361096
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN8099 Issued in FL
Legal business name
MARKUS SHERRY DMD PA
Practice address
14651 Palm Beach Blvd Ste 101
Fort Myers, FL 33905-2331
Phone
(239) 694-9993
Fax
(239) 561-9996
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Markus Sherry, DMDNPI 1295829943
Title
Owner
Phone
(239) 229-6255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN8099 FL Primary

Addresses

Primary practice location

14651 Palm Beach Blvd Ste 101
Fort Myers, FL 33905-2331

Mailing address

25 Carrotwood CT
Fort Myers, FL 33919-7531
Phone (239) 229-6255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1609361096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARROTWOOD CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197531",
            "telephone_number": "239-229-6255",
            "fax_number": "239-561-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 PALM BEACH BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052331",
            "telephone_number": "239-694-9993",
            "fax_number": "239-561-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKUS SHERRY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "SHERRY",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-229-6255",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.