Individual provider Active NPI

Ahmer Qamar, BDS,MDS

  • General Practice Dentistry
  • Warren, MI
National Provider Identifier
1053348987
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019052 Issued in MI
Practice address
29753 Hoover Rd # B
Warren, MI 48093-8900
Phone
(586) 573-0011
NPI assigned
Jun 27, 2006
Last updated
Apr 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019052 MI Primary

Addresses

Primary practice location

29753 Hoover Rd # B
Warren, MI 48093-8900

Mailing address

29753 Hoover Rd # B
Warren, MI 48093-8900
Phone (586) 573-0011

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005002660 MI Order and Referring Only - DentistPractitioner - Dentist 3375735152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019052MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Z & W PLLC Current Accepting new patients
Happy Dental PLLC CurrentSince Nov 1, 2020 Accepting new patients
Gentle Dental Warren PLLC Past Accepting new patients

Locations

1080 Creekwood Trl
Burton, MI 48509
Phone (810) 743-4536

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1053348987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29753 HOOVER RD # B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938900",
            "telephone_number": "586-573-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29753 HOOVER RD # B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938900",
            "telephone_number": "586-573-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAMAR",
        "first_name": "AHMER",
        "credential": "BDS,MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.