Behzad Amin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016344 Issued in MI

Practice address

2900 Union Lake Rd
Suite 120
Commerce Township, MI 48382-3500

Phone

(248) 363-8285

Fax

(248) 363-8287

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Lakes Family Dentistry P.C.

  dba Lakes Family Dentistry

  • General Practice Dentistry
  • Commerce Township, MI
  • NPI 1922134535
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104952852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 120",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-363-8285",
            "fax_number": "248-363-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD",
            "address_2": "SUITE 120",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823500",
            "telephone_number": "248-363-8285",
            "fax_number": "248-363-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayrouz Alkhouri
• Manuela Almeida Viveiros Sa, LLP
• Americas Best Home Health Care Inc
• Amerimed Diabetic Supply Company
• Irene Mass Ametrano, ED.D.
• Anchor Family Dentistry
• Jennifer Anderson
• Melissa Lynn Andric, D.O.
• Anesthesia Services, P C - Huron Valley Division
• Susan Anker, LMSW

• General Practice Dentistry in Commerce Township, MI
• Providers in Commerce Township, 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 Jul 8, 2007; 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.