Shalini Kamodia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11178 Issued in NC

Practice address

11300 Cresthill Dr Ste 105
Mint Hill, NC 28227

Phone

(000) 000-0000

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mint Hill Smiles

  • General Practice Dentistry
  • Mint Hill, NC
  • NPI 1518426006
  NPD (past) Authorized official

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1487037875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 KENILWORTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 CRESTHILL DR STE 105",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 113th St",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337722800",
            "country_code": "US",
            "telephone_number": "607-727-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMODIA",
        "first_name": "SHALINI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina T Jones, CCC-SLP
• Kristen Jones
• Douglas E. Jordan, DC
• Shirley Joseph, M.S., LPC
• JP Associate, Inc.
• Erica Christine Kelley, DPT
• Kickstarting Inspiration & Nourishing Gentle Souls LLC
• Corey Elysse Kilcullen, M.A.
• John Dane Kovach, DDS, MS
• L a Enterprises

• General Practice Dentistry in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.