Ahmad I Shannir, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016116 Issued in MI

Practice address

18901 W Warren Ave
Detroit, MI 48228-3311

Phone

(313) 271-4500

Fax

(313) 271-4545

NPI assigned

Sep 14, 2006

Last updated

Mar 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ahmad I Shannir DDS PC

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1124554886
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1093810160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N GULLEY RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281502",
            "telephone_number": "313-563-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283311",
            "telephone_number": "313-271-4500",
            "fax_number": "313-271-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNIR",
        "first_name": "AHMAD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4137461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dolores Shank, RN
• Seetha Shankaran, MD
• Nirvan Shanker, MD
• Terell Shanks
• Shanle Psychological Services LLC
• Audreanna Shalise Shannon
• Dianne Lajoyce Shannon, LLBSW
• Marquisa Danae Shannon, B.A,M.B.A
• Melissa Shannon, R.D.
• Phillip Shannon

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.

Verify at the official NPI Registry.