Organization Active NPI

Sherman O. Smock DDS PC

  • Periodontics
  • Lynchburg, VA
National Provider Identifier
1770600736
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
VA 0005531 Issued in VA
Legal business name
SHERMAN O. SMOCK DDS PC
Practice address
519 Leesville Rd
Lynchburg, VA 24502-2338
Phone
(434) 237-2928
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sherman O. Smock, DDSNPI 1972550119
Title
Principle Share Holder
Phone
(434) 237-2928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X VA 0005531 VA Primary

Addresses

Primary practice location

519 Leesville Rd
Lynchburg, VA 24502-2338

Mailing address

519 Leesville Rd
Lynchburg, VA 24502-2338
Phone (434) 237-2928

National Provider Directory

National Provider Directory

Locations

519 Leesville Rd
Lynchburg, VA 24502
Phone (434) 237-2928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770600736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022338",
            "telephone_number": "434-237-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LEESVILLE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022338",
            "telephone_number": "434-237-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN O. SMOCK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOCK",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRINCIPLE SHARE HOLDER",
        "authorized_official_telephone_number": "434-237-2928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "VA 0005531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.