Organization Active NPI

Shailza D Sharma DMD PC

  • General Practice Dentistry
  • Douglas, MA
National Provider Identifier
1124562335
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855546 Issued in MA
Legal business name
SHAILZA D SHARMA DMD PC
Practice address
341 Main St
Douglas, MA 01516-2182
Phone
(508) 476-3115
NPI assigned
Dec 6, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Shailza Dhawan Sharma, DMDNPI 1104088913
Title
Director
Phone
(706) 814-3183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1855546 MA Primary

Addresses

Primary practice location

341 Main St
Douglas, MA 01516-2182

Mailing address

53 Hemingway St
Shrewsbury, MA 01545-3983

Other identifiers 1

IdentifierTypeStateIssuer
1104088913MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1124562335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HEMINGWAY ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAIN ST",
            "city": "DOUGLAS",
            "state": "MA",
            "postal_code": "015162182",
            "telephone_number": "508-476-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAILZA D SHARMA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SHAILZA",
        "authorized_official_middle_name": "DHAWAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-814-3183",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104088913",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.