Active NPI
Sharmin Islam
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1104448414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11627
- Practice address
- 2321 8TH Ave S
Nashville, TN 37204-2252 - Phone
- (972) 361-0600
- NPI assigned
- May 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 11627 | TN | Primary |
Addresses
Primary practice location
2321 8TH Ave S
Nashville, TN 37204-2252
Mailing address
1277 W Running Brook Rd
Nashville, TN 37209-5028
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11627 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental of Melrose PLLC | Current | Accepting new patients |
Locations
2321 8th Ave S
Nashville, TN 37204
Phone (615) 334-5041
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Nashville, TN
- NPI 1497320725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1104448414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 W RUNNING BROOK RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372095028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 8TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042252",
"telephone_number": "972-361-0600"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-464-4148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISLAM",
"first_name": "SHARMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.