Organization Active NPI

Yaser Shaheen D.M.D PLLC

  • Dental Clinic/Center
  • Dearborn, MI
National Provider Identifier
1033565809
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901021613 Issued in MI
Legal business name
YASER SHAHEEN D.M.D PLLC
Practice address
5728 Schaefer Rd Ste 203
Dearborn, MI 48126-2287
Phone
(313) 769-5850
Fax
(313) 769-5848
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Yaser Shaheen, DMDNPI 1225419468
Title
President
Phone
(313) 918-5188

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901021613 MI Primary

Addresses

Primary practice location

5728 Schaefer Rd Ste 203
Dearborn, MI 48126-2287

Mailing address

27115 Northmore St
Dearborn Heights, MI 48127-3643
Phone (313) 918-5188

Other names 1

  • Michigan Healthy Smile Doing business as

National Provider Directory

National Provider Directory

Locations

5728 Schaefer Rd
Ste 203
Dearborn, MI 48126
Phone (313) 769-5850

Practitioners & affiliated clinicians

Practitioners 2

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": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1033565809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27115 NORTHMORE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273643",
            "telephone_number": "313-918-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD STE 203",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262287",
            "telephone_number": "313-769-5850",
            "fax_number": "313-769-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASER SHAHEEN D.M.D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-918-5188",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901021613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Healthy Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.