Sonal Shah, B.D.S, D.D.S, M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

15463 Issued in MI

Practice address

11662 Martin Rd
Warren, MI 48093-4588

Phone

(586) 754-6300

Fax

(586) 754-6407

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sonal Desai Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: snshah@direct.dmc.org

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154388643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934588",
            "telephone_number": "586-754-6300",
            "fax_number": "586-754-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11662 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934588",
            "telephone_number": "586-754-6300",
            "fax_number": "586-754-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SONAL",
        "name_prefix": "Dr.",
        "credential": "B.D.S, D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "15463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONAL",
            "last_name": "DESAI",
            "prefix": "DR.",
            "credential": "B.D.S., D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jainam Shah
• Radhika H Shah, PHARMACIST
• Sabin Gunjan Shah, M.D.
• Shalin Shah, DMD
• Sharvil Shah, DMD
• Shahara Home Care LLC
• David Shaheen, DDS
• Philip Jeffrey Shaheen, M.D.
• Sherwin Shaji
• Ganeshkumar Shanmugasundaram, RPT

• All providers in Warren, MI
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.