Active NPI
Mary Lauren Sharp, DMD
- Public Health Dentistry
- Clinton, TN
National Provider Identifier
1427586619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 11050
- Practice address
- 710 N Main St
Clinton, TN 37716-3143 - Phone
- (865) 425-8803
- NPI assigned
- Jun 1, 2017
- Last updated
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 11050 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | AL |
Addresses
Primary practice location
710 N Main St
Clinton, TN 37716-3143
Mailing address
2419 Surrey LN SE
Decatur, AL 35601-6903
Phone (256) 318-3800
Other practice location 1
1930 Alcoa Highway
Medical Building A, Suite 340
Knoxville, TN 37920-6999
Phone (865) 305-9440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181017003264 | TN | Order and Referring Only - Dentist | 5597017632 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Orthodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Decatur, AL
- NPI 1942174370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1427586619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 SURREY LN SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356016903",
"telephone_number": "256-318-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N MAIN ST",
"city": "CLINTON",
"state": "TN",
"postal_code": "377163143",
"telephone_number": "865-425-8803"
}
],
"practiceLocations": [
{
"address_1": "1930 Alcoa Highway",
"address_2": "Medical Building A, Suite 340",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379206999",
"country_code": "US",
"telephone_number": "865-305-9440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "MARY",
"middle_name": "LAUREN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TN",
"license": "11050",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.