Active NPI
Thomas Ray Sherman, D.C.
- Chiropractor
- Hiawatha, IA
National Provider Identifier
1720165079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03035
- Practice address
- 1375 N Center Point Rd
Hiawatha, IA 52233-1239 - Phone
- (319) 393-3710
- Fax
- (319) 294-8250
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 03035 | IA | Primary |
Addresses
Primary practice location
1375 N Center Point Rd
Hiawatha, IA 52233-1239
Mailing address
1375 N Center Point Rd
Hiawatha, IA 52233-1239
Phone (319) 393-3710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013425 | Medicaid | IA |
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 |
|---|---|---|---|
| 03035 | IA | MD | Cardiovascular Disease Physician |
| 3035 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Professional Office, PC | Chiropractor | 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 and National Provider Directory roles.
-
- Chiropractor
- Hiawatha, IA
- NPI 1932306917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720165079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 N CENTER POINT RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522331239",
"telephone_number": "319-393-3710",
"fax_number": "319-294-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 N CENTER POINT RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522331239",
"telephone_number": "319-393-3710",
"fax_number": "319-294-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "THOMAS",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "03035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013425",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.