Shyam S Sharma, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20119 Issued in OH

Practice address

18660 Bagley Rd Ste 405B
Middleburg Heights, OH 44130-8492

Phone

(440) 297-4365

Fax

(440) 297-4054

NPI assigned

Oct 23, 2006

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssharma@direct.swgeneral.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Center USA, LLC

  • Dentist
  • Middleburg Heights, OH
  • NPI 1760855472
  NPD Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1083797740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD STE 405B",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308492",
            "telephone_number": "440-297-4365",
            "fax_number": "440-298-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD STE 405B",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308492",
            "telephone_number": "440-297-4365",
            "fax_number": "440-297-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHYAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208966",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341958892026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Sfeir, M.D.
• Ajit Shah, MD
• Bina Shah
• Tushar Kantilal Shah, M.D.
• Cheyenne Shannon, RN
• Trilok Sharma, MD
• Ahmad H. Shatila, M. D.
• Whitney Shaw, O.D.
• Keith Dean Shearer, PTA
• Dalia Shibeika, M.D

• General Practice Dentistry in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.