Individual provider Active NPI

Shikha Sharma, DDS, MS

  • Pediatric Dentistry
  • Lawrenceville, GA
National Provider Identifier
1376772053
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN013926 Issued in GA
Practice address
4850 Sugarloaf Pkwy Ste 611
Lawrenceville, GA 30044-2866
Phone
(404) 786-7616
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN013926 GA Primary

Addresses

Primary practice location

4850 Sugarloaf Pkwy Ste 611
Lawrenceville, GA 30044-2866

Mailing address

4850 Sugarloaf Pkwy Ste 611
Lawrenceville, GA 30044-2866
Phone (404) 786-7616

Other practice location 1

410 N Jeff Davis Dr
Fayetteville, GA 30214-1630
Phone (770) 460-9702

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

LicenseStateTypeSpecialty
DN013926GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceville Pediatric Dentistry CurrentSince Jan 26, 2020 Accepting new patients
Dental One Associates (Fayetteville) LLC Dentist Past Accepting new patients

Locations

4850 Sugarloaf Pkwy
Ste 611
Lawrenceville, GA 30044
Phone (470) 299-3999

Organizations & group practices 2

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1376772053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 611",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442866",
            "telephone_number": "404-786-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 611",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442866",
            "telephone_number": "404-786-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 N Jeff Davis Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302141630",
            "country_code": "US",
            "telephone_number": "770-460-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHIKHA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.