Individual provider Active NPI

Jeffrey Sherwood, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1770543548
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30 - 015336 Issued in OH
Practice address
3540 Blue Rock Rd
Suite #8
Cincinnati, OH 45239-5107
Phone
(513) 741-8977
NPI assigned
Mar 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30 - 015336 OH Primary

Addresses

Primary practice location

3540 Blue Rock Rd
Suite #8
Cincinnati, OH 45239-5107

Mailing address

3540 Blue Rock Rd
Suite #8
Cincinnati, OH 45239-5107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161220002507 OH Order and Referring Only - DentistPractitioner - Dentist 4789965278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30 - 015336OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770543548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 BLUE ROCK RD",
            "address_2": "SUITE #8",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452395107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 BLUE ROCK RD",
            "address_2": "SUITE #8",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452395107",
            "telephone_number": "513-741-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "JEFFREY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30 - 015336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.