Individual provider Active NPI

Rajan Sharma, MSD

  • Endodontics
  • Westmont, IL
National Provider Identifier
1619360096
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
319.011044 Issued in IL
Practice address
6319 Fairview Ave Ste 103
Westmont, IL 60559-2889
Phone
(630) 960-4447
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 319.011044 IL Primary

Addresses

Primary practice location

6319 Fairview Ave Ste 103
Westmont, IL 60559-2889

Mailing address

6319 Fairview Ave Ste 103
Westmont, IL 60559-2889
Phone (630) 960-4447

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
319.011044ILMDEndodontist

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1619360096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 FAIRVIEW AVE STE 103",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592889",
            "telephone_number": "630-960-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 FAIRVIEW AVE STE 103",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592889",
            "telephone_number": "630-960-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "319.011044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.