Individual provider Active NPI

Sonam R Patel, D.M.D

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1538518774
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015779 Issued in GA
Practice address
901 E 66TH St
Savannah, GA 31405
Phone
(912) 525-7777
NPI assigned
Jun 8, 2016
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN015779GAMDGeneral Practice Dentistry
8938SCMDGeneral Practice Dentistry
DS040823PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Smiles Dentistry, LLC General Practice Current Accepting new patients
Robert B Miller DMD PC General Practice PastSince Nov 17, 2019 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.

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.

Verify at the official NPI Registry.