9601 Shine LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

9601 SHINE LLC

Practice address

9601 Amberdale Dr
North Chesterfield, VA 23236-1258

Phone

(248) 250-2861

NPI assigned

Oct 23, 2025

Last updated

Oct 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vaishali Sunilkumar Patel, DDS

Title

Dentist

Phone

(248) 250-2861

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1154299055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 AMBERDALE DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361258",
            "telephone_number": "248-250-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 AMBERDALE DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361258",
            "telephone_number": "248-250-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "9601 SHINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_middle_name": "SUNILKUMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-250-2861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.