Active NPI
Sakshi Sharma, DDS BDS
- Pediatric Dentistry
- Muncie, IN
National Provider Identifier
1497197750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12012868A
- Practice address
- 3905 N Wheeling Ave
Muncie, IN 47304 - Phone
- (765) 286-4017
- Fax
- (765) 286-0372
- NPI assigned
- Jul 26, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12012868A | IN | Primary |
| General Practice Dentistry | 1223G0001X | 057520 | NY |
Addresses
Primary practice location
3905 N Wheeling Ave
Muncie, IN 47304
Mailing address
601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448
Other practice location 1
601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300012362 | Medicaid | IN | |
| 057520 | Other | NY | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012868A | IN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Orthodontics of Indiana, LLC | Past | Accepting new patients | |
| Jeffrey a. Rector, D.D.S., LLC | Pediatric Dentistry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Muncie, IN
- NPI 1841841996
-
- Pediatric Dentistry
- Muncie, IN
- NPI 1104095116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1497197750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601B W WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562119",
"telephone_number": "315-781-8448",
"fax_number": "315-781-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 N WHEELING AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47304",
"telephone_number": "765-286-4017",
"fax_number": "765-286-0372"
}
],
"practiceLocations": [
{
"address_1": "601B W Washington St",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "144562119",
"country_code": "US",
"telephone_number": "315-781-8448",
"fax_number": "315-781-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "SAKSHI",
"credential": "DDS BDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IN",
"license": "12012868A",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "057520",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300012362",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "057520",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.