Active NPI
Caring Dentistry If Hazel Park, PLLC
- Dentist
- Hazel Park, MI
National Provider Identifier
1003269960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901017385
- Legal business name
- CARING DENTISTRY IF HAZEL PARK, PLLC
- Practice address
- 1631 E 9 Mile Rd
Hazel Park, MI 48030-1938 - Phone
- (586) 825-0388
- NPI assigned
- Jul 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Najwa Shaja, D.D.S.
- Title
- Owner
- Phone
- (586) 825-0388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901017385 | Primary |
Addresses
Primary practice location
1631 E 9 Mile Rd
Hazel Park, MI 48030-1938
Mailing address
1631 E 9 Mile Rd
Hazel Park, MI 48030-1938
Phone (586) 825-0388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407924103 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1631 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 571-4949
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oak Park, MI
- NPI 1679444772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468540800000",
"number": "1003269960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301938",
"telephone_number": "586-825-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 E 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301938",
"telephone_number": "586-825-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING DENTISTRY IF HAZEL PARK, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A",
"authorized_official_last_name": "SHAJA",
"authorized_official_first_name": "NAJWA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-825-0388",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": "2901017385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407924103",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.