Individual provider Active NPI

Ashish Prakash Sharma, BDS, MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Spokane Valley, WA
National Provider Identifier
1346651007
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60341917 Issued in WA
Practice address
16201 E Indiana Ave Ste 3240
Spokane Valley, WA 99216-2838
Phone
(509) 862-5880
NPI assigned
May 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10927 TN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS0000010927 TN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE60341917 WA Primary

Addresses

Primary practice location

16201 E Indiana Ave Ste 3240
Spokane Valley, WA 99216-2838

Mailing address

16201 E Indiana Ave Ste 3240
Spokane Valley, WA 99216-2838
Phone (509) 862-5880

Other practice location 1

1301 22nd Ave S
Nashville, TN 37232-0001
Phone (615) 936-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asharma436083@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181114002741 CA Practitioner - Dentist 2961756796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10927TNMDDentist
DE60341917WAMDOral and Maxillofacial Surgery (Dentist)
DS0000010927TNMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Loma Linda University CurrentSince Aug 19, 2018 Accepting new patients
Grads Inc. CurrentSince Aug 19, 2018 Accepting new patients
Loma Linda University Current Accepting new patients
Ut Oms Specialty Dental Services , PLLC Oral and Maxillofacial Surgery Past Accepting new patients
North Valley Endodontics, P.a. PastSince May 1, 2022 Accepting new patients

Locations

11092 Anderson St
Loma Linda, CA 92350
Phone (909) 558-4222

Interoperability endpoints

  • Direct secure messaging: asharma436083@direct.vumc.org

Organizations & group practices 5

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1346651007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3240",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-862-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3240",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-862-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-936-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ASHISH",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10927",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "DS0000010927",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60341917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asharma436083@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.