Individual provider Active NPI

Alex Emily Sherman, DDS

  • Pediatric Dentistry
  • Englewood, CO
National Provider Identifier
1922620871
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN.00205001 Issued in CO
Practice address
5168 S Broadway
Englewood, CO 80113-6706
Phone
(720) 673-9371
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205001 CO
Pediatric Dentistry 1223P0221X 30.026128 OH
Pediatric Dentistry 1223P0221X DEN.00205001 CO Primary

Addresses

Primary practice location

5168 S Broadway
Englewood, CO 80113-6706

Mailing address

375 S Jackson St Apt 717
Denver, CO 80209-3449
Phone (513) 465-6741

Other practice location 1

169 Ashley Ave
Room 202 Main Hospital MSC333
Charleston, SC 29425
Phone (843) 792-3916

Other practice location 2

18801 E Mainstreet Ste 150
Parker, CO 80134-3477
Phone (720) 316-1511

Other practice location 3

9358 Dorchester St Ste 106
Highlands Ranch, CO 80129-2511
Phone (720) 647-9600

Other practice location 4

9227 E Lincoln Ave Ste 100
Lone Tree, CO 80124-5504
Phone (720) 500-3843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20201001002289 SC Order and Referring Only - DentistPractitioner - Dentist 1456770908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205001COMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1922620871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S JACKSON ST APT 717",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093449",
            "telephone_number": "513-465-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801136706",
            "telephone_number": "720-673-9371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_2": "Room 202 Main Hospital MSC333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18801 E Mainstreet Ste 150",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343477",
            "country_code": "US",
            "telephone_number": "720-316-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9358 Dorchester St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801292511",
            "country_code": "US",
            "telephone_number": "720-647-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9227 E Lincoln Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245504",
            "country_code": "US",
            "telephone_number": "720-500-3843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ALEX",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205001",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.026128",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00205001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.