Active NPI
Erin G Sherrill, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jacksonville, FL
National Provider Identifier
1669619060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 17666
- Practice address
- 9000 Golfside Drive
Suite a
Jacksonville, FL 32256 - Phone
- (859) 595-9623
- NPI assigned
- Jan 7, 2009
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55744 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 17666 | FL | Primary |
Addresses
Primary practice location
9000 Golfside Drive
Suite a
Jacksonville, FL 32256
Mailing address
9000 Golfside Drive
Suite a
Jacksonville, FL 32256
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 |
|---|---|---|---|
| 17666 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 55744 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1669619060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 GOLFSIDE DRIVE",
"address_2": "SUITE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 GOLFSIDE DRIVE",
"address_2": "SUITE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "859-595-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRILL",
"first_name": "ERIN",
"middle_name": "G",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55744",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "17666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.