Active NPI
Sarika Polcum, DMD
- Pediatric Dentistry
- Dublin, OH
National Provider Identifier
1942053491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11119
- Practice address
- 4395 W Dublin Granville Rd
Dublin, OH 43017-2041 - Phone
- (614) 820-1424
- NPI assigned
- Apr 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 11119 | OH | Primary |
Addresses
Primary practice location
4395 W Dublin Granville Rd
Dublin, OH 43017-2041
Mailing address
18416 Shallowford LN
Louisville, KY 40245-6210
Phone (502) 709-1457
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 |
|---|---|---|---|
| 11119 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1942053491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18416 SHALLOWFORD LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402456210",
"telephone_number": "502-709-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4395 W DUBLIN GRANVILLE RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172041",
"telephone_number": "614-820-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLCUM",
"first_name": "SARIKA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-05",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "11119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.