Rebwar Sameer Raheema, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901021666 Issued in MI

Practice address

30955 Woodward Ave
Royal Oak, MI 48073-0800

Phone

(248) 397-2010

NPI assigned

Jul 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Vineyards Dental & Implants PLLC

  • Dental Clinic/Center
  • Sterling Heights, MI
  • NPI 1275377145
  NPD Authorized official
• Mashini Dental Group PLLC

  • General Practice Dentistry
  • Benton Harbor, MI
  • NPI 1972095032
  NPD (past)
• Green Say Smile LLC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1477147163
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1194109710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 VINEYARDS BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141842",
            "telephone_number": "586-879-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30955 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730800",
            "telephone_number": "248-397-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4758 S Scatterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460132908",
            "country_code": "US",
            "telephone_number": "765-642-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4939 E 82nd St Ste D500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462505678",
            "country_code": "US",
            "telephone_number": "317-578-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9940 Pendleton Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462362823",
            "country_code": "US",
            "telephone_number": "317-541-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHEEMA",
        "first_name": "REBWAR",
        "middle_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012829A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dryousif@aspendental.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "4758 S Scatterfield Rd",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460132908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Rae
• Russell W. Rae Jr., M.D.
• Cameron Raedy
• Gilbert Raff
• Tinnelle Ragsdale
• Angela Rahn, APRN, NNP-BC
• Raina Ernstoff, M.D.P.C.
• Raina M Ernstoff MD PLLC
• Barbara Virginia Raines, LMSW
• Meenakshi Sundaram Ramachandran, MBBS

• Dentist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.