Individual provider Active NPI

Sharitha V Uchil, BDS, MSD

  • Prosthodontics
  • Livonia, MI
National Provider Identifier
1912379595
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2901021751 Issued in MI
Practice address
37667 Pembroke Ave
Livonia, MI 48152-1050
Phone
(734) 542-0570
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2901021751 MI Primary

Addresses

Primary practice location

37667 Pembroke Ave
Livonia, MI 48152-1050

Mailing address

58655 Winnowing Cir N
South Lyon, MI 48178-8319
Phone (573) 797-0436

Other identifiers 1

IdentifierTypeStateIssuer
2901021751OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160303002036 MI Order and Referring Only - DentistPractitioner - Dentist 2365748167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1912379595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58655 WINNOWING CIR N",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788319",
            "telephone_number": "573-797-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37667 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-542-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHIL",
        "first_name": "SHARITHA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901021751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2901021751",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.