Active NPI
Shailza D Sharma DMD PC
- General Practice Dentistry
- Douglas, MA
National Provider Identifier
1124562335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1855546
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shailza Dhawan Sharma, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088913 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Worcester, MA
- NPI 1104088913
-
- General Practice Dentistry
- Douglas, MA
- NPI 1619995230
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.