Organization Active NPI

Smile Center USA, LLC

  • Dentist
  • Middleburg Heights, OH
National Provider Identifier
1760855472
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE CENTER USA, LLC
Practice address
18660 Bagley Rd Ste 405B
Middleburg Heights, OH 44130-8492
Phone
(440) 297-4365
Fax
(440) 297-4054
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Dr. Shyam S Sharma, DDSNPI 1083797740
Title
President
Phone
(440) 297-4365

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

18660 Bagley Rd Ste 405B
Middleburg Heights, OH 44130-8492

Mailing address

18660 Bagley Rd Ste 405B
Middleburg Heights, OH 44130-8492
Phone (440) 297-4365

National Provider Directory

National Provider Directory

Locations

6929 W 130th St
Ste 302
Parma Heights, OH 44130
Phone (440) 886-4761

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": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1760855472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD STE 405B",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308492",
            "telephone_number": "440-297-4365",
            "fax_number": "440-297-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD STE 405B",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308492",
            "telephone_number": "440-297-4365",
            "fax_number": "440-297-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-297-4365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.