Active NPI
Sharitha V Uchil, BDS, MSD
- Prosthodontics
- Livonia, MI
National Provider Identifier
1912379595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2901021751
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2901021751 | Other | MI | LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160303002036 | MI | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.