Shamik S. Vakil, DDS, Ms, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401412253 Issued in VA

Legal business name

SHAMIK S. VAKIL, DDS, MS, PLLC

Doing business as

Blue Ridge Pediatric Dentistry

Practice address

46175 Westlake Dr
Suite 430
Sterling, VA 20165-5873

Phone

(703) 430-8215

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shamik Suresh Vakil, DDS

Title

Dentist

Phone

(703) 430-5417

Specialties & licenses 1

Addresses

Other names 1

• Blue Ridge Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1316249501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR STE 430",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR",
            "address_2": "SUITE 430",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655873",
            "telephone_number": "703-430-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIK S. VAKIL, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "VAKIL",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_middle_name": "SURESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-430-5417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hetal Shah
• Ria Shah, PA-C
• Ritu V Shah
• Meesagh Shaheedian, DC
• Shahrokh Soltani DMD PC (New Era Dental)
• Roberta A Shapiro
• Komal Sharma, D.D.S.
• Sharon L Williams
• Elizabeth A Sharp, RN
• Mark Shasti, MD

• Pediatric Dentistry in Sterling, VA
• Providers in Sterling, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.