Individual provider Active NPI

Sharon Ravikant Shinde

  • Dentist
  • Boston, MA
National Provider Identifier
1316316631
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1857070 Issued in MA
Practice address
735 Harrison Ave
Apt W103
Boston, MA 02118-4903
Phone
(443) 695-5675
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D1857070 MA Primary

Addresses

Primary practice location

735 Harrison Ave
Apt W103
Boston, MA 02118-4903

Mailing address

735 Harrison Ave Apt W103
Boston, MA 02118-4902

Other names 1

  • Sharon Ravikant Gupta Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205000958 MA Order and Referring Only - DentistPractitioner - Dentist 5698055861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1857070MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orson Smiles LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1316316631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 HARRISON AVE APT W103",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 HARRISON AVE",
            "address_2": "APT W103",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184903",
            "telephone_number": "443-695-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDE",
        "first_name": "SHARON",
        "middle_name": "RAVIKANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "D1857070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "GUPTA",
            "middle_name": "RAVIKANT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.