Active NPI
Guity M Rabbani, DDS MS
- Periodontics
- Sterling Heights, MI
National Provider Identifier
1023181427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 013655
- Practice address
- 3637 Fifteen Mile Rd
Sterling Heights, MI 48310 - Phone
- (586) 979-8222
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 013655 | MI | Primary |
| Periodontics | 1223P0300X | 30260 | CA |
Addresses
Primary practice location
3637 Fifteen Mile Rd
Sterling Heights, MI 48310
Mailing address
5008 Champlain Circle
W Bloomfield, MI 48323
Phone (586) 979-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150728004827 | MI | Order and Referring Only - Oral Surgery | 0941514434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30260 | CA | MD | Psychologist |
| 013655 | MI | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1023181427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 CHAMPLAIN CIRCLE",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "586-979-8222",
"fax_number": "586-979-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 FIFTEEN MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-979-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABBANI",
"first_name": "GUITY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "013655",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "30260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.