Waseem Nidal Makki, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021913 Issued in MI

Practice address

3257 Fort St
Lincoln Park, MI 48146-3632

Phone

(313) 383-2270

NPI assigned

May 31, 2016

Last updated

May 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Health Group of Michgian

  • Dentist
  • Lincoln Park, MI
  • NPI 1144435603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1023466174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262314",
            "telephone_number": "313-433-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463632",
            "telephone_number": "313-383-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKI",
        "first_name": "WASEEM",
        "middle_name": "NIDAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Lynch, LMSW
• Karl Martin Lyngaas, D.D.S.
• Phoenix Macgregor, M.S. L.L.P.
• Tina Maddox
• Mahmood Khan M.D., P.C.
• Ankita S Mali, RPT
• Shashi Kanta Malik, M.D.
• Nicole Manthei, LLMSW
• Kelly Ann Marietti, LBSW, CAADC
• Stewart S Markofsky, DDS

• General Practice Dentistry in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.

Verify at the official NPI Registry.