Organization Active NPI

Caring Dentistry If Hazel Park, PLLC

  • Dentist
  • Hazel Park, MI
National Provider Identifier
1003269960
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jul 15, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1407924103MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.