Active NPI
Sharon Lindo, DMD
- Dentist
- Norfolk, VA
National Provider Identifier
1124031315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413330
- Practice address
- 5900 E Virginia Beach Blvd
Norfolk, VA 23502-2473 - Phone
- (757) 644-4356
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS035800 | PA | |
| Dentist | 122300000X | 0401413330 | VA | Primary |
Addresses
Primary practice location
5900 E Virginia Beach Blvd
Norfolk, VA 23502-2473
Mailing address
1090 Northchase Pkwy SE, Suite 290
Kool Smiles Support Services Office/NDRC,LLC
Marietta, GA 30067
Phone (678) 904-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008411900002 | Medicaid | PA |
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 |
|---|---|---|---|
| DS035800 | PA | MD | Dentist |
| 0401413330 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1124031315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PKWY SE, SUITE 290",
"address_2": "KOOL SMILES SUPPORT SERVICES OFFICE/NDRC,LLC",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "678-904-5665",
"fax_number": "678-247-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 E VIRGINIA BEACH BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022473",
"telephone_number": "757-644-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDO",
"first_name": "SHARON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS035800",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008411900002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.