DR. SONAM SHAH PATEL (NPI# 1578962254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578962254 |
| Entity Type | Individual |
| Full Name | DR. SONAM SHAH PATEL |
| Other Name | DR. SONAM VIPULKUMAR SHAH |
| Credential | DDS |
| Practice Address |
17214 Lancaster Hwy Ste 301 Charlotte NC 28277-2093 |
| Mailing Address |
5147 Mount Clare Ln Charlotte NC 28210-4477 |
| Practice Telephone | 7047032177 |
| Mailing Telephone | 7048044129 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9527 | SC | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
260168 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FS6413758 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620889 | Sonam Patel | Registered Nurse | 13323 Cypress Palms Ct, Cypress, TX 77429-6788 | 2020-05-14 |
| 1598315640 | Sonam K. Patel | Optometrist | 1700 Whitehorse - Hamilton Square Rd, Suite A1, Hamilton Square, NJ 08690-3536 | 2019-09-19 |
| 1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
| 1033587084 | Sonam Patel | Dentist | 57 Courant, Irvine, CA 92618-1504 | 2015-09-08 |
| 1336577345 | Sonam Kiritkumar Patel | Optometrist | 8917 Tehama Ridge Pkwy, Fort Worth, TX 76177-2005 | 2013-10-30 |
| 1144833054 | Sonam R Patel | Registered Nurse | 2811 Queens Plz N Fl 5, Long Island City, NY 11101-4172 | 2020-08-28 |
| 1932763489 | Sonam Patel | Student in an Organized Health Care Education/Training Program | 100 Bowman Dr, Voorhees, NJ 08043-9612 | 2019-04-30 |
| 1265965602 | Sonam Patel | Student in an Organized Health Care Education/Training Program | 501 Madison Ave, Scranton, PA 18510-2401 | 2017-04-04 |
| 1538518774 | Sonam R Patel | Dentist | 901 E 66th St, Savannah, GA 31405 | 2016-06-08 |
| 1306230230 | Sonam Patel | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2015-03-28 |
| Street Address |
17214 LANCASTER HWY STE 301 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775749 | M. Avey & Associates Nc PC Iv | Dentist | 17214 Lancaster Hwy Ste 301, Charlotte, NC 28277-2093 | 2020-06-23 |
| 1336764083 | M. Avey & Associates Nc PC II | Dentist | 17214 Lancaster Hwy Ste 301, Charlotte, NC 28277-2093 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607340 | Arpita Patel, Dmd, Pa | Dentist | 2400 South Blvd Ste 100, Charlotte, NC 28203-5773 | 2019-03-08 |
| 1598247579 | S. Vakil Dds Ms I, Pa | Dentist | 6331 Carmel Rd Ste 101, Charlotte, NC 28226-8246 | 2018-09-05 |
| 1366971384 | Young and Polite Young Dds Pa | Dentist | 3010 Baucom Rd Ste 100, Charlotte, NC 28269-6767 | 2017-06-05 |
| 1174972756 | Brandy Edmonds | Dentist | 2630 W Arrowood Rd Ste C, Charlotte, NC 28273-6263 | 2016-06-06 |
| 1487032850 | John Michael Bakarich | Dentist | 7741 Ballantyne Commons Pkwy Ste 101, Charlotte, NC 28277-4140 | 2015-05-18 |
| 1568840403 | Carson Rutledge | Dentist | 2700 Coltsgate Rd Ste 204, Charlotte, NC 28211-3573 | 2015-05-12 |
| 1215343421 | Marcela Mujica Dmd | Dentist | 2630 W Arrowood Rd, Suite C, Charlotte, NC 28273-6134 | 2014-07-08 |
| 1841626835 | R. Corey Snow, Dmd and Jason K. Snow, Dds, Pllc | Dentist | 2620 Central Ave, Charlotte, NC 28205-5335 | 2013-09-23 |
| 1427344357 | Oscar Nzita Mvula | Dentist | 1515 Mainline Blvd, Apt 7202, Charlotte, NC 28203-0521 | 2011-06-20 |
| 1023326287 | Bevin K Malley Dds Pa | Dentist | 6918 Garden Terrace Ct, Charlotte, NC 28210-2706 | 2010-09-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.