Active NPI
Sharilyn T. Moniz, DDS
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1881717882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61296
- Practice address
- 3424 1St Ave
San Diego, CA 92103-4802 - Phone
- (619) 230-5309
- Fax
- (619) 566-4408
- NPI assigned
- Apr 6, 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 | 61296 | CA | Primary |
Addresses
Primary practice location
3424 1St Ave
San Diego, CA 92103-4802
Mailing address
13420 Russet Leaf LN
San Diego, CA 92129-4410
Phone (505) 363-9309
Other practice location 1
1525 4th Ave Fl 2
San Diego, CA 92101-3107
Phone (619) 795-1301
Other practice location 2
1706 Descanso Ave Ste A
San Marcos, CA 92078-2514
Phone (760) 280-2270
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smoniz@stmonizdental.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Valley Indian Health Inc | Current | Accepting new patients | |
| Northern Valley Indian Health Inc | Current | Accepting new patients |
Locations
207 N Butte St
Willows, CA 95988
Phone (530) 934-4641
Interoperability endpoints
- sharilyn.moniz@nvih.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Chico, CA
- NPI 1750031548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631923200000",
"number": "1881717882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13420 RUSSET LEAF LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921294410",
"telephone_number": "505-363-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 1ST AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034802",
"telephone_number": "619-230-5309",
"fax_number": "619-566-4408"
}
],
"practiceLocations": [
{
"address_1": "1525 4th Ave Fl 2",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921013107",
"country_code": "US",
"telephone_number": "619-795-1301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1706 Descanso Ave Ste A",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920782514",
"country_code": "US",
"telephone_number": "760-280-2270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONIZ",
"first_name": "SHARILYN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2021-09-18",
"certification_date": "2021-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61296",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smoniz@stmonizdental.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business email",
"address_1": "3424 1st Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921034802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.