Active NPI
Fadi Abshara, DDS
- Dentist
- Richmond, MI
National Provider Identifier
1043669468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021893
- Practice address
- 69089 N Main St
Richmond, MI 48062-1146 - Phone
- (586) 727-5898
- NPI assigned
- Jun 7, 2016
- Last updated
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021893 | MI | Primary |
Addresses
Primary practice location
69089 N Main St
Richmond, MI 48062-1146
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3613
Phone (724) 698-2132
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 |
|---|---|---|---|---|
| I20161005002204 | MI | Order and Referring Only - Dentist | 3577851617 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1043669468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S MILL ST STE 200",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161013613",
"telephone_number": "724-698-2132",
"fax_number": "724-652-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69089 N MAIN ST",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480621146",
"telephone_number": "586-727-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABSHARA",
"first_name": "FADI",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.