Active NPI
Vikram Sharma, DMD
- Dentist
- Mundelein, IL
National Provider Identifier
1275028870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019031823
- Practice address
- 444 Prospect Ave Ste 2
Mundelein, IL 60060-1963 - Phone
- (847) 566-5100
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019031823 | IL | Primary |
Addresses
Primary practice location
444 Prospect Ave Ste 2
Mundelein, IL 60060-1963
Mailing address
1194 E. Nichols Rd
Unit 2a
Palatine, IL 60074
Phone (224) 587-7270
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 |
|---|---|---|---|
| 019031823 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Dental Care of Mundelein, LTD. | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Mundelein, IL
- NPI 1790190882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1275028870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1194 E. NICHOLS RD",
"address_2": "UNIT 2A",
"city": "PALATINE",
"state": "IL",
"postal_code": "60074",
"telephone_number": "224-587-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 PROSPECT AVE STE 2",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600601963",
"telephone_number": "847-566-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "VIKRAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mundelein, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.