Individual provider Active NPI

Nandini Sharma, DMD

  • General Practice Dentistry
  • Jamaica Plain, MA
National Provider Identifier
1285111369
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1858621 Issued in MA
Practice address
3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241
Phone
(617) 524-7860
NPI assigned
Jul 23, 2018
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 DN1858621 MA Primary

Addresses

Primary practice location

3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241

Mailing address

3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241

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
DN1858621MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Dental PC CurrentSince Dec 17, 2023 Accepting new patients

Locations

3531 Washington St
Ste 102
Jamaica Plain, MA 02130
Phone (617) 524-7860

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1285111369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 WASHINGTON ST STE 102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 WASHINGTON ST STE 102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305241",
            "telephone_number": "617-524-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "NANDINI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.