Individual provider Active NPI

Edward H Sharon, DDS

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1174030373
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23016 Issued in FL
Practice address
2355 Stanford Court
Unit 701
Naples, FL 34112
Phone
(239) 566-7425
Fax
(239) 593-3430
NPI assigned
Jan 9, 2018
Last updated
Jan 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23016 FL Primary

Addresses

Primary practice location

2355 Stanford Court
Unit 701
Naples, FL 34112

Mailing address

2355 Stanford Court
Unit 701
Naples, FL 34112
Phone (239) 566-7425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN23016FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Friendship Centers, Inc Past Accepting new patients
Senior Friendship Centers Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1174030373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STANFORD COURT",
            "address_2": "UNIT 701",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34112",
            "telephone_number": "239-566-7425",
            "fax_number": "239-593-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STANFORD COURT",
            "address_2": "UNIT 701",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34112",
            "telephone_number": "239-566-7425",
            "fax_number": "239-593-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARON",
        "first_name": "EDWARD",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.