Active NPI
Sharon Josianne Friend, DMD
- Dentist
- San Clemente, CA
National Provider Identifier
1891902854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41298
- Practice address
- 1520 N. El Camino Real
Suite #5
San Clemente, CA 92672 - Phone
- (949) 366-1111
- Fax
- (860) 536-7403
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41298 | CA | Primary |
Addresses
Primary practice location
1520 N. El Camino Real
Suite #5
San Clemente, CA 92672
Mailing address
30 Cantilena
San Clemente, CA 92673
Phone (860) 961-2948
Other names 1
- Sharon Josianne Pattendien
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41298 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1891902854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CANTILENA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "92673",
"telephone_number": "860-961-2948",
"fax_number": "860-536-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 N. EL CAMINO REAL",
"address_2": "SUITE #5",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "92672",
"telephone_number": "949-366-1111",
"fax_number": "860-536-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "SHARON",
"middle_name": "JOSIANNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "PATTENDIEN",
"middle_name": "JOSIANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.