Conner James Sherwood, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

10896 Issued in KY

Practice address

3159 Beaumont Centre Circle Ste 375
Lexington, KY 40513-1001

Phone

(859) 278-9376

Fax

(859) 276-0260

NPI assigned

Feb 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 2, 2024 through Oct 2, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1740720671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SUNSET DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086538",
            "telephone_number": "336-337-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 BEAUMONT CENTRE CIRCLE STE 375",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131001",
            "telephone_number": "859-278-9376",
            "fax_number": "859-276-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "CONNER",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-25",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "10896",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "10896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Sherman, L.M.T
• Kathy A Sherman, APRN
• Kristie Sherman
• Sherry D. Guiler, Arnp
• Brenda Arleen Sherwood, RN, APRN
• Erin Shetler, PT, DPT, ATC
• Pavel Shevtsov, MD
• Suzanne Keats Shewcraft, CRNA
• Chiquita Shields, TCADC
• Daniel Shields, DO

• Oral & Maxillofacial Surgery (D.M.D.) in Lexington, KY
• Providers in Lexington, KY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.