Individual provider Active NPI

Martha Sharp, DDS

  • General Practice Dentistry
  • Purcellville, VA
National Provider Identifier
1831460252
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410592 Issued in VA
Practice address
17340 Pickwick Dr
Suite 100
Purcellville, VA 20132-6181
Phone
(540) 338-3186
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401410592 VA Primary

Addresses

Primary practice location

17340 Pickwick Dr
Suite 100
Purcellville, VA 20132-6181

Mailing address

17340 Pickwick Dr
Suite 100
Purcellville, VA 20132-6181
Phone (540) 338-3186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150721000873 VA Order and Referring Only - DentistPractitioner - Dentist 8527371459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1831460252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR",
            "address_2": "SUITE 100",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326181",
            "telephone_number": "540-338-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR",
            "address_2": "SUITE 100",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326181",
            "telephone_number": "540-338-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.