Individual provider Active NPI

Sharilyn T. Moniz, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1881717882
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61296 Issued in CA
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

Updated by the provider on Sep 18, 2021

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005002326 TX Practitioner - Dentist 2466723440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc CurrentSince Jun 15, 2023 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Jun 15, 2023 Accepting new patients

Locations

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.