NPIMap

Organization Active NPI

Ebrahim Schmitt PLLC

  • General Practice Dentistry
  • Grand Blanc, MI
National Provider Identifier
1023719960
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EBRAHIM SCHMITT PLLC
Practice address
8542 Holly Rd
Grand Blanc, MI 48439-8301
Phone
(810) 603-7887
Fax
(810) 720-1306
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mrs. Shayhana Ebrahim, DMDNPI 1548386121
Title
Dentist
Phone
(810) 603-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8542 Holly Rd
Grand Blanc, MI 48439-8301

Mailing address

8542 Holly Rd
Grand Blanc, MI 48439-8301
Phone (810) 603-7887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1023719960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8542 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398301",
            "telephone_number": "810-603-7887",
            "fax_number": "810-720-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8542 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398301",
            "telephone_number": "810-603-7887",
            "fax_number": "810-720-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIM SCHMITT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "SHAYHANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "810-603-7887",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.