Active NPI
Sonam Shah Patel, DDS
- Pediatric Dentistry
- Charlotte, NC
National Provider Identifier
1578962254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 260168
- Practice address
- 17214 Lancaster Hwy Ste 301
Charlotte, NC 28277-2093 - Phone
- (704) 703-2177
- NPI assigned
- Aug 18, 2014
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9527 | SC | |
| Pediatric Dentistry | 1223P0221X | 260168 | NC | Primary |
Addresses
Primary practice location
17214 Lancaster Hwy Ste 301
Charlotte, NC 28277-2093
Mailing address
5147 Mount Clare LN
Charlotte, NC 28210-4477
Phone (704) 804-4129
Other names 1
- Dr. Sonam Vipulkumar Shah
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drshah@gokidspd.com | Align America SC, LLC |
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 |
|---|---|---|---|
| 260168 | NC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Avey & Associates NC PC IV | Current | Accepting new patients |
Locations
17214 Lancaster Hwy
Ste 301
Charlotte, NC 28277
Phone (704) 703-2177
Organizations & group practices 1
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.
-
dba GoKids Pediatric Dentistry
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlotte, NC
- NPI 1437775749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1578962254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5147 MOUNT CLARE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104477",
"telephone_number": "704-804-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17214 LANCASTER HWY STE 301",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772093",
"telephone_number": "704-703-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SONAM",
"middle_name": "SHAH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2023-11-27",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "9527",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "260168",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drshah@gokidspd.com",
"affiliation": "Y",
"affiliationName": "Align America SC, LLC",
"address_1": "17214 Lancaster Hwy Ste 301",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282772093",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SONAM",
"last_name": "SHAH",
"middle_name": "VIPULKUMAR",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.