Abdul Shakfa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19388 Issued in MI

Practice address

229 S Cochran Avenue
Charlotte, MI 48813

Phone

(517) 543-3810

Fax

(517) 543-3899

NPI assigned

Feb 5, 2007

Last updated

Sep 2, 2020By 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

Other names 1

• Abdul Shakfa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michigan Implant Dental Center

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1265047641
  NPD Authorized official
• Livonia Cosmatic and Implant Dental Center

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1659610012
  NPD (past) Authorized official
• Painless Dentistry LLC

  • General Practice Dentistry
  • Charlotte, MI
  • NPI 1811036262
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1114066586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502421",
            "telephone_number": "734-427-9300",
            "fax_number": "734-427-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S COCHRAN AVENUE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "48813",
            "telephone_number": "517-543-3810",
            "fax_number": "517-543-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKFA",
        "first_name": "ABDUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL",
            "last_name": "SHAKFA",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marten Edward Saunders
• Joann Mildred Schafer, LLMSW
• Robert G Schirmer, M.D.
• Joshua Schnell, PT, DPT
• William Schultz IV, D.O.
• Emma K Sharp, PA
• Amie J Sherrill-Pierce, LPC
• Linda Gail Sherrill, LPC
• Jill Sierra-Dinninger, LMSW
• Michelle Ann Smigelski

• General Practice Dentistry in Charlotte, MI
• Providers in Charlotte, 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 Sep 2, 2020; 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.