Individual provider Active NPI

Norman Kent Sharp II, DDS

  • General Practice Dentistry
  • Syracuse, UT
National Provider Identifier
1881975464
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10740332 Issued in UT
Practice address
1662 S 2000 W Ste A1
Syracuse, UT 84075
Phone
(801) 825-2273
NPI assigned
Sep 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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 1347 AK
General Practice Dentistry 1223G0001X 10740332 UT Primary

Addresses

Primary practice location

1662 S 2000 W Ste A1
Syracuse, UT 84075

Mailing address

1662 S 2000 W Ste A1
Syracuse, UT 84075-7145

Other practice location 1

935 Westpoint Dr Ste 203
Wasilla, AK 99654-8164
Phone (907) 376-2790

Other identifiers 2

IdentifierTypeStateIssuer
1347OtherAKLICENSE
10740332OtherUTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20161128002733 AK Order and Referring Only - DentistPractitioner - Dentist 4385923879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10740332UTMDGeneral Practice Dentistry
1397AKMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tooele Dental Office, LLC PastSince Sep 8, 2019 Accepting new patients
Lakeview Dental Syracuse, Inc. PastSince Sep 8, 2019 Accepting new patients

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1881975464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 S 2000 W STE A1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 S 2000 W STE A1",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "84075",
            "telephone_number": "801-825-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Westpoint Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548164",
            "country_code": "US",
            "telephone_number": "907-376-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "NORMAN",
        "middle_name": "KENT",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1347",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10740332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1347",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10740332",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

Verify at the official NPI Registry.