Active NPI
Edward Charles Sharp, D.D.S., M.S.
- Pediatric Dentistry
- Indio, CA
National Provider Identifier
1326242512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 18408
- Practice address
- 46900 Monroe St
Indio, CA 92201-4827 - Phone
- (760) 396-5733
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 18408 | CA | Primary |
Addresses
Primary practice location
46900 Monroe St
Indio, CA 92201-4827
Mailing address
80533 Camino Santa Juliana
Indio, CA 92203-7502
Phone (760) 297-2110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D18408 | Medicaid | CA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18408 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1326242512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80533 CAMINO SANTA JULIANA",
"city": "INDIO",
"state": "CA",
"postal_code": "922037502",
"telephone_number": "760-297-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46900 MONROE ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922014827",
"telephone_number": "760-396-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "EDWARD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "18408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D18408",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.