Organization Active NPI

Evershine Dental LLC

  • General Practice Dentistry
  • Worcester, MA
National Provider Identifier
1790242204
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EVERSHINE DENTAL LLC
Practice address
100 MLK Jr Blvd
Worcester, MA 01608
Phone
(978) 888-8028
NPI assigned
Feb 21, 2019
Last updated
May 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 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, DMD.
Title
Owner
Phone
(978) 888-8028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

100 MLK Jr Blvd
Worcester, MA 01608

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
Worcester, MA 01608
Phone (508) 754-3823

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

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557532800000",
    "number": "1790242204",
    "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",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "978-888-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSHINE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-05-11",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "SAHANA",
        "authorized_official_middle_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-888-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, DMD."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 May 11, 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.