Organization Active NPI

Ilya Sherman DMD PC

  • Dentist
  • Wellesley, MA
National Provider Identifier
1861834533
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ILYA SHERMAN DMD PC
Practice address
1 Hollis St
Suite 140
Wellesley, MA 02482-4631
Phone
(781) 235-6616
Fax
(781) 431-0219
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Ilya Sherman, DMD
Title
Owner
Phone
(781) 235-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1 Hollis St
Suite 140
Wellesley, MA 02482-4631

Mailing address

1 Hollis St
Suite 140
Wellesley, MA 02482-4631
Phone (781) 235-6616

Other names 1

  • Health and Beauty Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1 Hollis St
Ste 140
Wellesley, MA 02482
Phone (781) 235-6616

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1861834533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLIS ST",
            "address_2": "SUITE 140",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824631",
            "telephone_number": "781-235-6616",
            "fax_number": "781-431-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLIS ST",
            "address_2": "SUITE 140",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824631",
            "telephone_number": "781-235-6616",
            "fax_number": "781-431-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILYA SHERMAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-235-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health and Beauty Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.