Individual provider Active NPI

Jyoti Desh Sharma, DMD

  • Pediatric Dentistry
  • Cumming, GA
National Provider Identifier
1891873758
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN012806 Issued in GA
Practice address
1240 Buford Rd
Suite 150
Cumming, GA 30041-2731
Phone
(404) 433-1317
Fax
(770) 781-0204
NPI assigned
Nov 1, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN012806 GA Primary

Addresses

Primary practice location

1240 Buford Rd
Suite 150
Cumming, GA 30041-2731

Mailing address

5140 Beecham CT
Suwanee, GA 30024-3390
Phone (404) 433-1317

Other identifiers 1

IdentifierTypeStateIssuer
437813642MMedicaidGA

Other names 1

  • Dr. Jyoti Dahiya Former name

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
DN012806GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Orthodontics LLC Current Accepting new patients
Smiles for Kids Norcross PC Pediatric Dentistry Current Accepting new patients
Smiles for Kids LLC Pediatric Dentistry Past Accepting new patients

Locations

3953 Holcomb Bridge Rd
Ste 100
Peachtree Corners, GA 30092
Phone (678) 969-5437

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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1891873758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 BEECHAM CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243390",
            "telephone_number": "404-433-1317",
            "fax_number": "770-781-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BUFORD RD",
            "address_2": "SUITE 150",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412731",
            "telephone_number": "404-433-1317",
            "fax_number": "770-781-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "JYOTI",
        "middle_name": "DESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437813642M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JYOTI",
            "last_name": "DAHIYA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.