Individual provider Active NPI

Lina Sharab, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lexington, KY
National Provider Identifier
1891116596
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9129 Issued in KY
Practice address
800 Rose Street, Room D104
University of Kentucky College of Dentistry
Lexington, KY 40536-0297
Phone
(859) 323-9707
Fax
(859) 257-5859
NPI assigned
Dec 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9129 KY Primary

Addresses

Primary practice location

800 Rose Street, Room D104
University of Kentucky College of Dentistry
Lexington, KY 40536-0297

Mailing address

708 Sunny Slope Trce
Lexington, KY 40514-1780
Phone (646) 552-4667

Other identifiers 1

IdentifierTypeStateIssuer
7100375250MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160405001905 KY Practitioner - Oral Surgery 3971801069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Mar 1, 2016 Accepting new patients
University of Kentucky Orthodontics and Dentofacial Orthopedics CurrentSince Mar 1, 2016 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

800 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-5831

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

Organizations & group practices 3

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": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1891116596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SUNNY SLOPE TRCE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141780",
            "telephone_number": "646-552-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET, ROOM D104",
            "address_2": "UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360297",
            "telephone_number": "859-323-9707",
            "fax_number": "859-257-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAB",
        "first_name": "LINA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "9129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100375250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.