NPIMap

Organization Active NPI

Sharma Access Dental PS

  • Clinic/Center
  • Vancouver, WA
National Provider Identifier
1558749663
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8301 Issued in WA
Legal business name
SHARMA ACCESS DENTAL PS
Practice address
1412 NE 134TH St
#140
Vancouver, WA 98685-2719
Phone
(360) 573-4848
Fax
(360) 573-6272
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Sanjeev K Sharma, BDS MDS MS
Title
President
Phone
(360) 921-6856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8301 WA Primary

Addresses

Primary practice location

1412 NE 134TH St
#140
Vancouver, WA 98685-2719

Mailing address

1412 NE 134TH St
#140
Vancouver, WA 98685-2719
Phone (360) 573-4848

Other identifiers 1

IdentifierTypeStateIssuer
2034673MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Access Dental of Salmon Creek2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1412 NE 134th St
Ste 140
Vancouver, WA 98685
Phone (360) 573-4848

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1558749663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 NE 134TH ST",
            "address_2": "#140",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852719",
            "telephone_number": "360-573-4848",
            "fax_number": "360-573-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 NE 134TH ST",
            "address_2": "#140",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852719",
            "telephone_number": "360-573-4848",
            "fax_number": "360-573-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARMA ACCESS DENTAL PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-921-6856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS MDS MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "8301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.