Active NPI
Dr Ahmad a. Beydoun DDS , PC
- General Practice Dentistry
- Dearborn, MI
National Provider Identifier
1154433522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16362
- Legal business name
- DR AHMAD A. BEYDOUN DDS , PC
- Practice address
- 10033 Vernor Hwy
Dearborn, MI 48120-1513 - Phone
- (313) 843-6530
- Fax
- (313) 843-1410
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahmad A Beydoun, DDS
- Title
- Dentist
- Phone
- (313) 843-6530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16362 | MI | Primary |
Addresses
Primary practice location
10033 Vernor Hwy
Dearborn, MI 48120-1513
Mailing address
10033 Vernor Hwy
Dearborn, MI 48120-1513
Phone (313) 843-6530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4881109 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Dearborn, MI
- NPI 1972611028
-
- General Practice Dentistry
- Dearborn, MI
- NPI 1376095554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154433522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10033 VERNOR HWY",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201513",
"telephone_number": "313-843-6530",
"fax_number": "313-843-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10033 VERNOR HWY",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201513",
"telephone_number": "313-843-6530",
"fax_number": "313-843-1410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR AHMAD A. BEYDOUN DDS , PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEYDOUN",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "313-843-6530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "16362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4881109",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.