Sharma-SK, MDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHARMA-SK, MDS PLLC

Doing business as

Radiance Dental

Practice address

19301 SE 34TH St
Ste. 101
Camas, WA 98607-8881

Phone

(360) 369-6420

NPI assigned

Jan 15, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Zakharyuk

Title

Manager

Phone

(360) 369-6420

Specialties & licenses 1

Addresses

Other names 1

• Radiance Dental Doing business as

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1750703468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 SE 34TH ST",
            "address_2": "STE. 101",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078881",
            "telephone_number": "360-369-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 SE 34TH ST",
            "address_2": "STE. 101",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078881",
            "telephone_number": "360-369-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARMA-SK, MDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "ZAKHARYUK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-369-6420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiance Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Leonora Seay, LCSW, LSWAIC
• Sensoriworks LLC
• Krizsa Nicolitte Katigbak Serquina, PT, DPT
• Services Promo LLC
• Jessica Lynn Settle, DC
• Andrew Shaw, LMP
• Pamela Shellenberger
• Scott Shepherd
• Jason Shimata, PHARMD
• Amy M Shore, MA

• Dental Clinic/Center in Camas, WA
• Providers in Camas, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.