Active NPI
Sharon A Raghubar, DDS
- Dentist
- Norfolk, VA
National Provider Identifier
1396837068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047516
- Practice address
- Nab Little Creek
1035 Nider Blvd. Suite 200
Norfolk, VA 23521 - Phone
- (757) 953-8320
- NPI assigned
- Sep 29, 2006
- Last updated
- Sep 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 047516 | NY | Primary |
Addresses
Primary practice location
Nab Little Creek
1035 Nider Blvd. Suite 200
Norfolk, VA 23521
Mailing address
Nab Little Creek
1035 Nider Blvd. Suite 200
Norfolk, VA 23521
Phone (757) 953-8320
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
| License | State | Type | Specialty |
|---|---|---|---|
| 047516 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1396837068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAB LITTLE CREEK",
"address_2": "1035 NIDER BLVD. SUITE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23521",
"telephone_number": "757-953-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAB LITTLE CREEK",
"address_2": "1035 NIDER BLVD. SUITE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23521",
"telephone_number": "757-953-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHUBAR",
"first_name": "SHARON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.