Afusat Dallas, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703108850 Issued in MI

Practice address

5840 N Canton Center Rd Ste 212
Canton, MI 48187-2614

Phone

(734) 844-6533

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dependable Healthcare Services,Inc

  • Home Health Agency
  • Canton, MI
  • NPI 1760817571
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1114352911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 ARNOLD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391528",
            "telephone_number": "313-739-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD STE 212",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872614",
            "telephone_number": "734-844-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "AFUSAT",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703108850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Tarek Dabaja
• Rupinder Dadiala, NP-C
• Pooja Daduvai, O.T.
• Nassif Daher, SLP
• Shikha Dalal, RPT
• Cornelia Dalton
• Daniel Deguzman, M.D.P.C.
• Daniel T Deguzman, MD PC
• William Blas Danko, PHARMD
• Jasmine Akosia Dankwa

• Licensed Practical Nurse in Canton, MI
• Providers in Canton, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.