Individual provider Active NPI

Karim Mohamad Tabbaa

  • Dentist
  • Rochester Hills, MI
National Provider Identifier
1104680800
Registry record updated Apr 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602360 Issued in MI
Practice address
75 Barclay Cir Ste 110
Rochester Hills, MI 48307-5803
Phone
(248) 602-2339
NPI assigned
Feb 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027750 OH
Dentist 122300000X 2901602360 MI Primary

Addresses

Primary practice location

75 Barclay Cir Ste 110
Rochester Hills, MI 48307-5803

Mailing address

75 Barclay Cir Ste 110
Rochester Hills, MI 48307-5803

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
2901602360MIMDDentist
30.027750OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Barclay Dental Sleep Solutions, PC CurrentSince Sep 8, 2025 Accepting new patients

Locations

75 Barclay Cir
Ste 110
Rochester Hills, MI 48307
Phone (248) 602-2339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1104680800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075803",
            "telephone_number": "248-602-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBAA",
        "first_name": "KARIM",
        "middle_name": "MOHAMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027750",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; 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.