Active NPI
Sharon Soria, DMD
- Pediatric Dentistry
- Manchester, TN
National Provider Identifier
1245332444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 009371
- Practice address
- 192 Main Street
Manchester, TN 06042 - Phone
- (860) 649-4655
- Fax
- (860) 646-3281
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 009371 | CT | Primary |
Addresses
Primary practice location
192 Main Street
Manchester, TN 06042
Mailing address
192 Main Street
Manchester, TN 06042
Phone (860) 649-4655
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009371 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dental Assoc P.C. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Manchester, CT
- NPI 1851329510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245332444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 MAIN STREET",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "06042",
"telephone_number": "860-649-4655",
"fax_number": "860-646-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 MAIN STREET",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "06042",
"telephone_number": "860-649-4655",
"fax_number": "860-646-3281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIA",
"first_name": "SHARON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "009371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
- Misty D Slater, MD
- Sleep Relief Solutions LLC
- Christopher Chad Smith, DDS
- Elizabeth Ann Smith, RD, LDN
- Crystal Faye Soni
- Southern Family Markets LLC (Southern Family Market)
- Southern Home Care Services, Inc. (All Ways Caring HomeCare)
- Southland LTC Pharmacy
- Southland Pharmacy LLC
- Southland Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.