Active NPI
Sonam R Patel, D.M.D
- General Practice Dentistry
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN015779
- Practice address
- 901 E 66TH St
Savannah, GA 31405 - Phone
- (912) 525-7777
- NPI assigned
- Jun 8, 2016
- Last updated
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8938 | SC | |
| General Practice Dentistry | 1223G0001X | DN015779 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | DS040823 | PA |
Addresses
Primary practice location
901 E 66TH St
Savannah, GA 31405
Mailing address
107 Westwind Dr
Pooler, GA 31322-3811
Phone (856) 296-2850
Other practice location 1
494 Savannah Hwy
Charleston, SC 29407-7275
Phone (843) 571-7700
Other practice location 2
1710 Old Trolley Rd
Summerville, SC 29485-8281
Phone (843) 571-7700
Other practice location 3
5501 Old York Rd
Albert Einstein Medical Center
Philadelphia, PA 19141-3018
Phone (215) 456-7104
Other practice location 4
808 Wappoo Rd
Charleston, SC 29407-5865
Phone (843) 818-5437
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 |
|---|---|---|---|
| DN015779 | GA | MD | General Practice Dentistry |
| 8938 | SC | MD | General Practice Dentistry |
| DS040823 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Smiles Dentistry, LLC | General Practice | Current | Accepting new patients |
| Robert B Miller DMD PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Savannah, GA
- NPI 1588528756
-
dba Miller Dental Group
- General Practice Dentistry
- Savannah, GA
- NPI 1699310656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1538518774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WESTWIND DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313223811",
"telephone_number": "856-296-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 66TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-525-7777"
}
],
"practiceLocations": [
{
"address_1": "494 Savannah Hwy",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294077275",
"country_code": "US",
"telephone_number": "843-571-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1710 Old Trolley Rd",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294858281",
"country_code": "US",
"telephone_number": "843-571-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Old York Rd",
"address_2": "Albert Einstein Medical Center",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-7104",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "808 Wappoo Rd",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294075865",
"country_code": "US",
"telephone_number": "843-818-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SONAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8938",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN015779",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "DS040823",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.