Prince Sharma, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32139 Issued in TX

Practice address

4102 S Clear Creek Rd
#102
Killeen, TX 76549-5953

Phone

(206) 554-9889

NPI assigned

Aug 15, 2016

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1629523071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BACON RANCH RD APT 910",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422908",
            "telephone_number": "206-554-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD",
            "address_2": "#102",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495953",
            "telephone_number": "206-554-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonda Seuga
• Valerie Ann Sewell, LPC
• Pankti Shah
• Andrey Shalomov, M.D., M.P.H.
• Brianna Shannon
• Sasha Rhea Sharp
• Sidney Lawrence Sharp, CRNA
• Theresa Dee Shaw
• Ayesha Sheikh, M.D.
• Sean Sheley, PT, DPT

• General Practice Dentistry in Killeen, TX
• Providers in Killeen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.