Active NPI
Shamik Suresh Vakil, DDS
- Pediatric Dentistry
- Charlotte, NC
National Provider Identifier
1073787487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8667
- Practice address
- 308 Iverson Way
Charlotte, NC 28203-5631 - Phone
- (704) 741-7469
- NPI assigned
- Apr 16, 2008
- Sex
- Male
- 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 | 8667 | NC | Primary |
Addresses
Primary practice location
308 Iverson Way
Charlotte, NC 28203-5631
Mailing address
3326 Siskey Pkwy Ste 310
#310
Matthews, NC 28105-3226
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 |
|---|---|---|---|
| 8667 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Vakil DDS Ms I, PA | Pediatric Dentistry | Past | Accepting new patients |
| Abrams,Barrows,Cohen & Associates II PA | Past | Accepting new patients | |
| S. Vakil DDS Ms II, PA | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- svakil3027085@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Charlotte, NC
- NPI 1598247579
-
- Pediatric Dentistry
- Davidson, NC
- NPI 1457833469
-
- General Practice Dentistry
- Matthews, NC
- NPI 1679905350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1073787487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 SISKEY PKWY STE 310",
"address_2": "#310",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281053226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 IVERSON WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035631",
"telephone_number": "704-741-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKIL",
"first_name": "SHAMIK",
"middle_name": "SURESH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "8667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.