S Vakil DDS III PA

Primary specialty

DentistTaxonomy code 122300000X

License

8667 Issued in NC

Legal business name

S VAKIL DDS III PA

Practice address

4558 Capital Blvd
Raleigh, NC 27604-4537

Phone

(919) 861-7814

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Shamik Vakil, DDS

Title

Dentist

Phone

(919) 357-2288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1245721778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044537",
            "telephone_number": "919-861-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044537",
            "telephone_number": "919-861-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S VAKIL DDS III PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "VAKIL",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-357-2288",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8667",
            "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 Jun 11, 2020; 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.