Individual provider Active NPI

Varun Sharma, D.M.D.

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1710110085
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE9417 Issued in WA
Practice address
10317 122ND St E
Ste D
Puyallup, WA 98374-2632
Phone
(253) 435-5656
Fax
(253) 435-5838
NPI assigned
Sep 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE9417 WA Primary

Addresses

Primary practice location

10317 122ND St E
Ste D
Puyallup, WA 98374-2632

Mailing address

10317 122ND St E
Ste D
Puyallup, WA 98374-2632
Phone (253) 435-5656

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
DE9417WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mahadeep Virk, DMD-Puyallup General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1710110085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E",
            "address_2": "STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "253-435-5656",
            "fax_number": "253-435-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E",
            "address_2": "STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "253-435-5656",
            "fax_number": "253-435-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "VARUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.