Individual provider Active NPI

Himanshu Sharma, DDS

  • Endodontics
  • Milwaukee, WI
National Provider Identifier
1477801033
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6924-15 Issued in WI
Practice address
10401 W Lincoln Ave Ste 210
Milwaukee, WI 53227-1255
Phone
(414) 546-1900
Fax
(414) 546-1901
NPI assigned
Aug 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6924-15 WI Primary

Addresses

Primary practice location

10401 W Lincoln Ave Ste 210
Milwaukee, WI 53227-1255

Mailing address

10401 W Lincoln Ave Ste 210
Milwaukee, WI 53227-1255
Phone (414) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160210002074 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0446554547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6924-15WIMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1477801033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 W LINCOLN AVE STE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532271255",
            "telephone_number": "414-546-1900",
            "fax_number": "414-546-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W LINCOLN AVE STE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532271255",
            "telephone_number": "414-546-1900",
            "fax_number": "414-546-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "HIMANSHU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "6924-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.