Active NPI
Ranim Suliman
- Dentist
- Hamtramck, MI
National Provider Identifier
1013514538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600645
- Practice address
- 9824 Conant St
Hamtramck, MI 48212 - Phone
- (313) 285-9766
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600645 | MI | Primary |
Addresses
Primary practice location
9824 Conant St
Hamtramck, MI 48212
Mailing address
4589 Wabeek Forest Dr
Bloomfield Hills, MI 48302-1782
Phone (248) 298-6008
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 |
|---|---|---|---|
| 2901600645 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Smiles | Current | Accepting new patients |
Locations
9824 Conant St
Hamtramck, MI 48212
Phone (313) 285-9766
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Hamtramck, MI
- NPI 1699413971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1013514538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4589 WABEEK FOREST DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483021782",
"telephone_number": "248-298-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9824 CONANT ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "48212",
"telephone_number": "313-285-9766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULIMAN",
"first_name": "RANIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.