Active NPI
Satpal Shikh, D.M.D
- General Practice Dentistry
- Conyers, GA
National Provider Identifier
1396962262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN-012847
- Practice address
- 1745 Highway 138 SE Ste C3
Conyers, GA 30013-5710 - Phone
- (770) 393-9111
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN-012847 | GA | Primary |
Addresses
Primary practice location
1745 Highway 138 SE Ste C3
Conyers, GA 30013-5710
Mailing address
220 Renaissance Pkwy NE
#2117
Atlanta, GA 30308-2339
Phone (678) 772-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN-012847 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396962262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RENAISSANCE PKWY NE",
"address_2": "#2117",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082339",
"telephone_number": "678-772-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 HIGHWAY 138 SE STE C3",
"city": "CONYERS",
"state": "GA",
"postal_code": "300135710",
"telephone_number": "770-393-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIKH",
"first_name": "SATPAL",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN-012847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.