Individual provider Active NPI

Arlishea Michelle Washington, DDS

  • Dentist
  • Southfield, MI
National Provider Identifier
1104903087
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018095 Issued in MI
Practice address
23077 Greenfield Rd Ste 290
Southfield, MI 48075-3745
Phone
(248) 905-5490
Fax
(248) 905-5439
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018095 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd Ste 290
Southfield, MI 48075-3745

Mailing address

29256 Spring Hill Dr
Southfield, MI 48076
Phone (313) 268-8480

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
2901018095MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlishea Washington, DDS, PC CurrentSince Jun 12, 2022 Accepting new patients
Cynthia Foster DDS PC PastSince Jun 12, 2022 Accepting new patients

Locations

23077 Greenfield Rd
Ste 290
Southfield, MI 48075
Phone (248) 905-5490

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1104903087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29256 SPRING HILL DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "313-268-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 290",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753745",
            "telephone_number": "248-905-5490",
            "fax_number": "248-905-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ARLISHEA",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.