Individual provider Active NPI

Michael Francis Sharrock, DDS

  • General Practice Dentistry
  • Chesapeake, VA
National Provider Identifier
1053463489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007995 Issued in VA
Practice address
1457 Mount Pleasant Rd
Suite #103
Chesapeake, VA 23322-3919
Phone
(757) 482-1212
Fax
(757) 482-7039
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0401007995 VA Primary

Addresses

Primary practice location

1457 Mount Pleasant Rd
Suite #103
Chesapeake, VA 23322-3919

Mailing address

1457 Mount Pleasant Rd
Suite #103
Chesapeake, VA 23322-3919
Phone (757) 482-1212

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401007995VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053463489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 MOUNT PLEASANT RD",
            "address_2": "SUITE #103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223919",
            "telephone_number": "757-482-1212",
            "fax_number": "757-482-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 MOUNT PLEASANT RD",
            "address_2": "SUITE #103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223919",
            "telephone_number": "757-482-1212",
            "fax_number": "757-482-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARROCK",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.