Active NPI
Sharon M Dickerson, D.D.S.
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1861548422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15027
- Practice address
- 950 S Cherry St Ste 507
Denver, CO 80246-2664 - Phone
- (720) 842-7002
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15027 | MI | Primary |
Addresses
Primary practice location
950 S Cherry St Ste 507
Denver, CO 80246-2664
Mailing address
950 S Cherry St Ste 507
Denver, CO 80246-2664
Phone (720) 842-7002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00202682 | Other | CO | STATE LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15027 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1861548422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 507",
"city": "DENVER",
"state": "CO",
"postal_code": "802462664",
"telephone_number": "720-842-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S CHERRY ST STE 507",
"city": "DENVER",
"state": "CO",
"postal_code": "802462664",
"telephone_number": "720-842-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "SHARON",
"middle_name": "M",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "15027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "00202682",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.