NPIMap

Organization Active NPI

Ludu Sharma PLLC

  • Dentist
  • Maple Valley, WA
National Provider Identifier
1477548337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUDU SHARMA PLLC
Practice address
23866 SE Kent Kangley Rd
Maple Valley, WA 98038-6848
Phone
(425) 413-8505
Fax
(425) 413-8144
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rhenn Sharma, DMD
Title
Owner
Phone
(425) 413-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

23866 SE Kent Kangley Rd
Maple Valley, WA 98038-6848

Mailing address

23866 SE Kent Kangley Rd
Maple Valley, WA 98038-6848
Phone (425) 413-8505

National Provider Directory

National Provider Directory

Locations

23866 SE Kent Kangley Rd
Maple Valley, WA 98038
Phone (425) 413-8505

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477548337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23866 SE KENT KANGLEY RD",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386848",
            "telephone_number": "425-413-8505",
            "fax_number": "425-413-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23866 SE KENT KANGLEY RD",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386848",
            "telephone_number": "425-413-8505",
            "fax_number": "425-413-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDU SHARMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RHENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-413-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.