Individual provider Active NPI

Ranim Suliman

  • Dentist
  • Hamtramck, MI
National Provider Identifier
1013514538
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600645 Issued in MI
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

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2901600645MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.