Active NPI
Helin Dilshad Jacksi, DDS
- Dentist
- Dundee, MI
National Provider Identifier
1154930105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600655
- Practice address
- 100 Powell Dr
Dundee, MI 48131-8644 - Phone
- (734) 823-5990
- NPI assigned
- Jul 27, 2020
- Last updated
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600655 | MI | Primary |
Addresses
Primary practice location
100 Powell Dr
Dundee, MI 48131-8644
Mailing address
7394 Hogan Dr
Ypsilanti, MI 48197-6109
Phone (734) 489-3974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600655 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Dental PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Clinton, MI
- NPI 1689444622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1154930105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7394 HOGAN DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481976109",
"telephone_number": "734-489-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 POWELL DR",
"city": "DUNDEE",
"state": "MI",
"postal_code": "481318644",
"telephone_number": "734-823-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSI",
"first_name": "HELIN",
"middle_name": "DILSHAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.