Active NPI
Shiv Shanker Sharma, DDS
- Dentist
- Palo Alto, CA
National Provider Identifier
1750753414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65221
- Practice address
- 2875 Middlefield Rd Ste 1
Palo Alto, CA 94306-2548 - Phone
- (650) 200-3208
- NPI assigned
- Oct 21, 2015
- Last updated
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 65221 | CA | |
| Dentist | 122300000X | 65221 | CA | Primary |
Addresses
Primary practice location
2875 Middlefield Rd Ste 1
Palo Alto, CA 94306-2548
Mailing address
2875 Middlefield Rd Ste 1
Palo Alto, CA 94306-2548
Phone (650) 200-3208
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65221 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1750753414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 MIDDLEFIELD RD STE 1",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062548",
"telephone_number": "650-200-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 MIDDLEFIELD RD STE 1",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062548",
"telephone_number": "650-200-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "SHIV",
"middle_name": "SHANKER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-21",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "65221",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.