Sharona Gerrah

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31574 Issued in TX

Practice address

3208 NW Foxtail PL
Corvallis, OR 97330-3882

Phone

(516) 946-7711

NPI assigned

Nov 3, 2014

Last updated

Mar 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1164827184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 NW FOXTAIL PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303882",
            "telephone_number": "516-946-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 NW FOXTAIL PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303882",
            "telephone_number": "516-946-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 W 181st St Apt 63",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100334717",
            "country_code": "US",
            "telephone_number": "516-946-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERRAH",
        "first_name": "SHARONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11197",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31574",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Gerding, ADVANCED ESTHETICIAN
• Kristen Gerig, BEHAVIOR TECHNICIAN
• Matthew E Gerlach, DPT
• Germane & Wise Mental Health Services Consulting LLC
• Rabin Gerrah, M.D.
• Andrew Gessel, D.O.
• Tori A Geter
• Amy Gettings, LCSW
• Wael Ghacham, M.D.
• Lauren Giacobine

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.