Individual provider Active NPI

Richard K Sherman, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1790342566
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9070099-8903 Issued in UT
Practice address
7138 S Highland Dr Ste 214
Salt Lake City, UT 84121-3783
Phone
(801) 942-7770
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 9070099-8903 UT Primary

Addresses

Primary practice location

7138 S Highland Dr Ste 214
Salt Lake City, UT 84121-3783

Mailing address

8026 S Barnwood Way
Sandy, UT 84094-7269
Phone (801) 946-7317

Other practice location 1

1434 E 9400 S Ste 200
Sandy, UT 84093-2900
Phone (801) 572-4402

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9070099-8903UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Dental General Practice Past Accepting new patients
HM Salt Lake Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1790342566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 S BARNWOOD WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840947269",
            "telephone_number": "801-946-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR STE 214",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213783",
            "telephone_number": "801-942-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1434 E 9400 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840932900",
            "country_code": "US",
            "telephone_number": "801-572-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9070099-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.