Individual provider Active NPI

Ashu Sharma

  • Dentist
  • Tracy, CA
National Provider Identifier
1194200865
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103284 Issued in CA
Practice address
2616 Pavilion Pkwy Ste 104
Tracy, CA 95304-9408
Phone
(209) 839-8333
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103284 CA Primary

Addresses

Primary practice location

2616 Pavilion Pkwy Ste 104
Tracy, CA 95304-9408

Mailing address

2655 Henley Pkwy Unit 7312
Tracy, CA 95377-2235
Phone (831) 521-1356

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
103284CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Dental Group Dentist CurrentSince Dec 17, 2023 Accepting new patients
D Park MPH DDS Dental Corporation CurrentSince Dec 17, 2023 Accepting new patients

Locations

2616 Pavilion Pkwy
Ste 104
Tracy, CA 95304
Phone (209) 839-8333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1194200865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 HENLEY PKWY UNIT 7312",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953772235",
            "telephone_number": "831-521-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 PAVILION PKWY STE 104",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049408",
            "telephone_number": "209-839-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ASHU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.