Individual provider Active NPI

William Patrick Sharkey, DMD

  • Dentist
  • Walla Walla, WA
National Provider Identifier
1881814283
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008075 Issued in WA
Practice address
342 Catherine St
Walla Walla, WA 99362-3057
Phone
(509) 525-9474
Fax
(509) 525-4723
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 601923709 WA
Dentist 122300000X DE00008075 WA Primary

Addresses

Primary practice location

342 Catherine St
Walla Walla, WA 99362-3057

Mailing address

342 Catherine St
Walla Walla, WA 99362-3057
Phone (509) 525-9474

Other identifiers 1

IdentifierTypeStateIssuer
93-0953511OtherWAFEDERAL TAX ID

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

LicenseStateTypeSpecialty
DE00008075WAMDDentist
601923709WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Martin & Sharkey PLLC Past Accepting new patients

Organizations & group practices 1

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1881814283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 CATHERINE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623057",
            "telephone_number": "509-525-9474",
            "fax_number": "509-525-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 CATHERINE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623057",
            "telephone_number": "509-525-9474",
            "fax_number": "509-525-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "601923709",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "93-0953511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.