Individual provider Active NPI

Bruno Sharp, D.D.S., M.S.

  • Prosthodontics
  • Coconut Grove, FL
National Provider Identifier
1801987656
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN13965 Issued in FL
Practice address
2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5417
Phone
(305) 857-0990
Fax
(305) 857-9180
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN13965 FL Primary

Addresses

Primary practice location

2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5417

Mailing address

2601 S Bayshore Dr
Suite 760
Coconut Grove, FL 33133-5417
Phone (305) 857-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000404 FL Practitioner - Oral Surgery 9931387693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN13965FLMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1801987656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S BAYSHORE DR",
            "address_2": "SUITE 760",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335417",
            "telephone_number": "305-857-0990",
            "fax_number": "305-857-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S BAYSHORE DR",
            "address_2": "SUITE 760",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335417",
            "telephone_number": "305-857-0990",
            "fax_number": "305-857-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN13965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

Verify at the official NPI Registry.