Organization Active NPI

S. Vakil DDS Ms IV, PA

Doing business as Growing Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1265199921
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
S. VAKIL DDS MS IV, PA
Doing business as
Growing Smiles Pediatric Dentistry
Practice address
5117 South Blvd Ste B
Charlotte, NC 28217-2709
Phone
(704) 741-9690
Fax
(704) 741-9691
NPI assigned
Nov 17, 2021
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Dr. Shamik Vakil, DDS
Title
Owner
Phone
(919) 357-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

5117 South Blvd Ste B
Charlotte, NC 28217-2709

Mailing address

5117 South Blvd Ste B
Charlotte, NC 28217-2709
Phone (704) 741-9690

Other names 1

  • Growing Smiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5117 South Blvd
Ste B
Charlotte, NC 28217
Phone (704) 741-9690

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1265199921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 SOUTH BLVD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172709",
            "telephone_number": "704-741-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 SOUTH BLVD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172709",
            "telephone_number": "704-741-9690",
            "fax_number": "704-741-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. VAKIL DDS MS IV, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "VAKIL",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-357-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2021; 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.