Individual provider Active NPI

Jerry Chery, D.D.S.

  • Dentist
  • Sarasota, FL
National Provider Identifier
1700172129
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19659 Issued in FL
Practice address
6305 Initiative Blvd Ste 112
Sarasota, FL 34240-1384
Phone
(941) 529-0331
Fax
(941) 529-0332
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19659 FL Primary

Addresses

Primary practice location

6305 Initiative Blvd Ste 112
Sarasota, FL 34240-1384

Mailing address

7054 74TH Street Cir E
Bradenton, FL 34203-7183
Phone (941) 529-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000689 FL Order and Referring Only - DentistPractitioner - Dentist 5092013250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19659FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1700172129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7054 74TH STREET CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037183",
            "telephone_number": "941-529-0331",
            "fax_number": "941-529-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 INITIATIVE BLVD STE 112",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401384",
            "telephone_number": "941-529-0331",
            "fax_number": "941-529-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERY",
        "first_name": "JERRY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.