S Vakil DDS I PA

Primary specialty

DentistTaxonomy code 122300000X

License

8667 Issued in NC

Legal business name

S VAKIL DDS I PA

Practice address

4446 Fayetteville Rd
Raleigh, NC 27603-3612

Phone

(919) 357-2288

NPI assigned

Apr 3, 2017

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

Manager

Phone

(919) 357-2288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1336671809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033612",
            "telephone_number": "919-357-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 FAYETTEVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033612",
            "telephone_number": "919-357-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S VAKIL DDS I PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "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": "MANAGER",
        "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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• Dentist in Raleigh, NC
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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.