NPIMap

Organization Active NPI

Ludu Sharma Professional Services PLLC

  • Dentist
  • Dupont, WA
National Provider Identifier
1629057559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUDU SHARMA PROFESSIONAL SERVICES PLLC
Practice address
975 Ross Ave
Suite 100
Dupont, WA 98327
Phone
(253) 964-7000
Fax
(253) 964-0345
NPI assigned
Jan 10, 2006
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. Rhenu Sharma, DMDNPI 1598757486
Title
Owner Doctor
Phone
(425) 413-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

975 Ross Ave
Suite 100
Dupont, WA 98327

Mailing address

PO Box 1361
Issaquah, WA 98027
Phone (425) 413-8505

Other names 1

  • Dupont Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

975 Ross Ave
Ste 100
DuPont, WA 98327
Phone (253) 964-7000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629057559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1361",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "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": "975 ROSS AVE",
            "address_2": "SUITE 100",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "98327",
            "telephone_number": "253-964-7000",
            "fax_number": "253-964-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDU SHARMA PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RHENU",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "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": [
        {
            "organization_name": "Dupont Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dupont, 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.