Individual provider Active NPI

Priveer D Sharma, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
National Provider Identifier
1790719359
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7679 Issued in NC
Practice address
11220 Elm LN
Suite 100
Charlotte, NC 28277-0715
Phone
(704) 541-6070
Fax
(704) 541-9070
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7679 NC Primary

Addresses

Primary practice location

11220 Elm LN
Suite 100
Charlotte, NC 28277-0715

Mailing address

11220 Elm LN
Suite 100
Charlotte, NC 28277-0716
Phone (704) 541-6070

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7679NCMDOral and Maxillofacial Surgery (Dentist)
13479FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgeons of Mid-Florida, PA Oral and Maxillofacial Surgery Past Accepting new patients
Oral & Maxillofacial Surgeons of Mid-Florida, PA Oral and Maxillofacial Surgery PastSince Feb 1, 1995 Accepting new patients
Rodrigo Sarmento, DMD, MD, PLLC Past Accepting new patients
Oral & Maxillofacial Surgeons of Mid-Florida Oral and Maxillofacial Surgery Past Accepting new patients
Priveer D Sharma DDS PA Oral and Maxillofacial Surgery PastSince Nov 28, 2011 Accepting new patients

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790719359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ELM LN",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770716",
            "telephone_number": "704-541-6070",
            "fax_number": "704-541-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770715",
            "telephone_number": "704-541-6070",
            "fax_number": "704-541-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "PRIVEER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.