Individual provider Active NPI

Donna Catherine Sherry, DDS

  • Dentist
  • Cohoes, NY
National Provider Identifier
1982782140
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047987 Issued in NY
Practice address
22 White St
First Floor Front
Cohoes, NY 12047-3020
Phone
(518) 237-2207
Fax
(518) 237-2207
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047987 NY Primary

Addresses

Primary practice location

22 White St
First Floor Front
Cohoes, NY 12047-3020

Mailing address

22 White St
First Floor Front
Cohoes, NY 12047-3020
Phone (518) 237-2207

Other identifiers 1

IdentifierTypeStateIssuer
02272815MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240725000737 NY Order and Referring Only - DentistPractitioner - Dentist 2567908650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047987NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1982782140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WHITE ST",
            "address_2": "FIRST FLOOR FRONT",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473020",
            "telephone_number": "518-237-2207",
            "fax_number": "518-237-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WHITE ST",
            "address_2": "FIRST FLOOR FRONT",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120473020",
            "telephone_number": "518-237-2207",
            "fax_number": "518-237-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "DONNA",
        "middle_name": "CATHERINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02272815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.