Individual provider Active NPI

Jameel Ahmad Aftab, DMD

  • Dentist
  • Roxborough, PA
National Provider Identifier
1083749253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037002 Issued in PA
Practice address
6162 Ridge Ave
Roxborough, PA 19128
Phone
(215) 483-1900
NPI assigned
Feb 21, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037002 PA Primary

Addresses

Primary practice location

6162 Ridge Ave
Roxborough, PA 19128

Mailing address

604 S Main St
Davison, MI 48423-1814
Phone (810) 653-1500

Other practice location 1

604 S Main St
Davison, MI 48423-1814
Phone (810) 653-1500

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
I20160621000631 MI Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 8123319209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037002PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
32 Pearls, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083749253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231814",
            "telephone_number": "810-653-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6162 RIDGE AVE",
            "city": "ROXBOROUGH",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-483-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 S Main St",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "484231814",
            "country_code": "US",
            "telephone_number": "810-653-1500",
            "fax_number": "810-653-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFTAB",
        "first_name": "JAMEEL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.