Organization Active NPI

Sherwood Dental Center PC

  • Endodontics
  • Amarillo, TX
National Provider Identifier
1962685917
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10969TX Issued in TX
Legal business name
SHERWOOD DENTAL CENTER PC
Practice address
2500 Coulter Rd
101
Amarillo, TX 79106
Phone
(806) 358-8561
Fax
(806) 358-3646
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Lloyd Dean Koen, DDSNPI 1114293099
Title
President Sherwood Dental Cental PC
Phone
(806) 358-8561

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 10969TX TX Primary

Addresses

Primary practice location

2500 Coulter Rd
101
Amarillo, TX 79106

Mailing address

2500 Coulter Rd
101
Amarillo, TX 79106
Phone (806) 358-8561

National Provider Directory

National Provider Directory

Locations

2500 S Coulter St
Ste 101
Amarillo, TX 79106
Phone (806) 358-8561

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": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1962685917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 COULTER RD",
            "address_2": "101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-358-8561",
            "fax_number": "806-358-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COULTER RD",
            "address_2": "101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-358-8561",
            "fax_number": "806-358-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "KOEN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT SHERWOOD DENTAL CENTAL PC",
        "authorized_official_telephone_number": "806-358-8561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "10969TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.