Active NPI
Shakil Ali Virjee DMD PC
- General Practice Dentistry
- Watervliet, NY
National Provider Identifier
1164887865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 040994
- Legal business name
- SHAKIL ALI VIRJEE DMD PC
- Practice address
- 1533 2ND Ave
Watervliet, NY 12189-2842 - Phone
- (518) 274-3424
- Fax
- (518) 274-3428
- NPI assigned
- Dec 22, 2015
- Last updated
- Dec 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shakil Ali Virjee, DMD
- Title
- President
- Phone
- (518) 274-3424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 040994 | NY | Primary |
Addresses
Primary practice location
1533 2ND Ave
Watervliet, NY 12189-2842
Mailing address
1533 2ND Ave
Watervliet, NY 12189-2842
Phone (518) 274-3424
National Provider Directory
National Provider DirectoryLocations
1533 2nd Ave
Watervliet, NY 12189
Phone (518) 274-3424
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Watervliet, NY
- NPI 1427279009
-
- General Practice Dentistry
- Watervliet, NY
- NPI 1679132773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450742400000",
"number": "1164887865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 2ND AVE",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121892842",
"telephone_number": "518-274-3424",
"fax_number": "518-274-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 2ND AVE",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121892842",
"telephone_number": "518-274-3424",
"fax_number": "518-274-3428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAKIL ALI VIRJEE DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-22",
"status": "A",
"authorized_official_last_name": "VIRJEE",
"authorized_official_first_name": "SHAKIL",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-274-3424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "040994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watervliet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.