Individual provider Active NPI

Hussain Arbab, BDS

  • Periodontics
  • Warren, MI
National Provider Identifier
1114221322
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5315075676 Issued in MI
Practice address
13403 E 13 Mile Rd
Warren, MI 48088-3196
Phone
(586) 979-2800
NPI assigned
Jan 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 5315075676 MI Primary

Addresses

Primary practice location

13403 E 13 Mile Rd
Warren, MI 48088-3196

Mailing address

13403 E 13 Mile Rd
Warren, MI 48088-3196
Phone (586) 979-2800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181211003592 MI Order and Referring Only - DentistPractitioner - Dentist 5698019024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5315075676MIMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1114221322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883196",
            "telephone_number": "586-979-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883196",
            "telephone_number": "586-979-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBAB",
        "first_name": "HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "5315075676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.