Organization Active NPI

Evershine Dental Group PC

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1700440658
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EVERSHINE DENTAL GROUP PC
Practice address
100 MLK Jr Blvd Ste 100
Worcester, MA 01608-1209
Phone
(774) 243-7782
Fax
(774) 243-7787
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Dr. Sahana Sheryl Ramos, BDS, DMDNPI 1982831830
Title
President
Phone
(978) 888-8028

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

100 MLK Jr Blvd Ste 100
Worcester, MA 01608-1209

Mailing address

100 MLK Jr Blvd Ste 100
Worcester, MA 01608-1209
Phone (774) 243-7782

National Provider Directory

National Provider Directory

Locations

100 Mlk Jr Blvd
Ste 100
Worcester, MA 01608
Phone (508) 552-0066

Interoperability endpoints

  • Direct secure messaging: sahana.ramos1@direct.evershinedental.masshiway.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1700440658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MLK JR BLVD STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "774-243-7782",
            "fax_number": "774-243-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MLK JR BLVD STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "774-243-7782",
            "fax_number": "774-243-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHINE DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "SAHANA",
        "authorized_official_middle_name": "SHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-888-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.