Individual provider Active NPI

Michel Obaid

  • Dentist
  • Allentown, PA
National Provider Identifier
1073874160
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039234 Issued in PA
Practice address
1131 W Emaus Ave
Allentown, PA 18103-6621
Phone
(484) 274-6880
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039234 PA Primary

Addresses

Primary practice location

1131 W Emaus Ave
Allentown, PA 18103-6621

Mailing address

1131 W Emaus Ave
Allentown, PA 18103-6621
Phone (484) 274-6880

Other practice location 1

1027 penn st
Reading, PA 19601-3600
Phone (610) 374-0906

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mro241@nyu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS039234PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michel Obaid LLC PastSince Sep 8, 2019 Accepting new patients
Safwan Shaaya DDS Inc Dentist PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1073874160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036621",
            "telephone_number": "484-274-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036621",
            "telephone_number": "484-274-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 penn st",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196013600",
            "country_code": "US",
            "telephone_number": "610-374-0906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBAID",
        "first_name": "MICHEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mro241@nyu.edu",
            "affiliation": "N",
            "address_1": "1131 W Emaus Ave",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

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