Individual provider Active NPI

Manu Sharma, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newark, CA
National Provider Identifier
1891128245
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
62760 Issued in CA
Practice address
3900 Newpark Mall Ste 204
Newark, CA 94560-5241
Phone
(510) 796-1793
Fax
(510) 796-3662
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 62760 CA Primary

Addresses

Primary practice location

3900 Newpark Mall Ste 204
Newark, CA 94560-5241

Mailing address

3900 Newpark Mall Ste 204
Newark, CA 94560-5241
Phone (510) 796-1793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001654 CA Order and Referring Only - Other (Non-Physician) 1456647106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62760CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manu Sharma DMD Inc. Orthodontics and Dentofacial Orthopedics CurrentSince Sep 21, 2025 Accepting new patients
Parklee DDS Inc. Orthodontics and Dentofacial Orthopedics PastSince Sep 14, 2025 Accepting new patients

Locations

3900 Newpark Mall
Ste 204
Newark, CA 94560
Phone (510) 796-1793

Interoperability endpoints

  • Direct secure messaging: msharma@direct.westerndental.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1891128245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NEWPARK MALL STE 204",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605241",
            "telephone_number": "510-796-1793",
            "fax_number": "510-796-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NEWPARK MALL STE 204",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605241",
            "telephone_number": "510-796-1793",
            "fax_number": "510-796-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MANU",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

Verify at the official NPI Registry.