Abdolmajid Sharolli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19810 Issued in TX

Practice address

2100 Brook Ave
Wichita Falls, TX 76301-5626

Phone

(940) 322-5297

Fax

(940) 322-5298

NPI assigned

Aug 25, 2006

Last updated

Apr 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Majid Sharolli Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Majid Sharolli, D.D.S., P.a.

  dba Wichita Falls Dental

  • General Practice Dentistry
  • Wichita Falls, TX
  • NPI 1174631840
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1124136825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015626",
            "telephone_number": "940-322-5297",
            "fax_number": "940-322-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015626",
            "telephone_number": "940-322-5297",
            "fax_number": "940-322-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAROLLI",
        "first_name": "ABDOLMAJID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAJID",
            "last_name": "SHAROLLI",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Shackelford
• Morgan Shafer, FNP-C
• Trista M Shafer, CSFA
• Kejal Shah, MD
• Marisha Rai Sharma, M.B.B.S.
• Larry E Sharp, M.D.
• Heather Nicole Shaver
• Michael Sheen, M.D.
• Jennifer R Sheets
• Rosellen Sheetz, SLP

• General Practice Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.