Active NPI
Tiffany Lee Sherock, DDS
- Dentist
- Williamsburg, IA
National Provider Identifier
1760229355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-10254
- Practice address
- 827 S Highland St
Williamsburg, IA 52361-9333 - Phone
- (319) 499-4025
- NPI assigned
- Jul 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10254 | IA | Primary |
Addresses
Primary practice location
827 S Highland St
Williamsburg, IA 52361-9333
Mailing address
595 39TH Ave
Amana, IA 52203-8126
Phone (586) 215-8982
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 |
|---|---|---|---|
| DDS-10254 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1760229355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 39TH AVE",
"city": "AMANA",
"state": "IA",
"postal_code": "522038126",
"telephone_number": "586-215-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 S HIGHLAND ST",
"city": "WILLIAMSBURG",
"state": "IA",
"postal_code": "523619333",
"telephone_number": "319-499-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEROCK",
"first_name": "TIFFANY",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-10254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.