Active NPI
Ibrahim Dawood, DDS
- General Practice Dentistry
- Chesterfield, MI
National Provider Identifier
1194254847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901022242
- Practice address
- 50503 Gratiot Ave
Chesterfield, MI 48051-3184 - Phone
- (586) 684-5020
- NPI assigned
- Jun 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901022242 | MI | Primary |
Addresses
Primary practice location
50503 Gratiot Ave
Chesterfield, MI 48051-3184
Mailing address
11820 Seaton Dr Apt F4
Sterling Heights, MI 48312-5094
Phone (616) 419-9250
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 |
|---|---|---|---|
| 2901022242 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1194254847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 SEATON DR APT F4",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483125094",
"telephone_number": "616-419-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50503 GRATIOT AVE",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480513184",
"telephone_number": "586-684-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWOOD",
"first_name": "IBRAHIM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901022242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.