Sergei Shirman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11378 Issued in NC

Practice address

9915 Sandy Rock Place Suite 200
Charlotte, NC 28277

Phone

(704) 317-7337

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sergei Shirman DMD PLLC

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1912770843
  NPD

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1134430242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 SANDY ROCK PL",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SANDY ROCK PLACE SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-317-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRMAN",
        "first_name": "SERGEI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Shipp, LPCA
• Ashot Shirazyan, PT
• Morgan Shires, OTR/L
• Taylor Shirkey, LPA
• Joseph Shirley, DDSN
• Hitesh Shivalingappa, M.D.
• Ravina Anne Shive, LMFT
• Carroll Paul Shivers Jr., MD
• Celena Nicole Shivers, PMHNP
• Edwin H Shoaf, M.D.

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.