Rayyan Jaber, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901600942 Issued in MI

Practice address

25569 Loch Lomond Dr
Dearborn Heights, MI 48125-1031

Phone

(313) 334-1931

NPI assigned

Aug 5, 2021

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

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.

• Teeth & Co PLLC

  • Dental Clinic/Center
  • Dearborn Heights, MI
  • NPI 1639846850
  NPD Authorized official

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1184398844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25569 LOCH LOMOND DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25569 LOCH LOMOND DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251031",
            "telephone_number": "313-334-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "RAYYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901600942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Incster Pharmacy LLC
• Integrated Health Group, P.C. (Michigan Institute of Pain Management)
• Integrated Health Group, P.C.
• Internal Healing Services LLC
• Tarick Iqal
• Ame Jadallah, PA-C
• Dena Jadallah
• Eyad Jadallah, FNP
• Lacey Jajko
• Farah Jalloul

• Pediatric Dentistry in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.