Individual provider Active NPI

W. Thomas Sharp Jr., D.D.S.

  • Dentist
  • Oakland, CA
National Provider Identifier
1811149123
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17853 Issued in CA
Practice address
2220 Mountain Blvd.
Suite 205
Oakland, CA 94611-2905
Phone
(510) 482-2799
Fax
(510) 482-2336
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17853 CA Primary

Addresses

Primary practice location

2220 Mountain Blvd.
Suite 205
Oakland, CA 94611-2905

Mailing address

2220 Mountain Blvd
Suite 205
Oakland, CA 94611-2958
Phone (510) 482-2799

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

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1811149123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD",
            "address_2": "SUITE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112958",
            "telephone_number": "510-482-2799",
            "fax_number": "510-482-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD.",
            "address_2": "SUITE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112905",
            "telephone_number": "510-482-2799",
            "fax_number": "510-482-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "W.",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "17853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.