Individual provider Active NPI

Nicholas Nadir Shammami, DDS

  • Dentist
  • Novi, MI
National Provider Identifier
1194409839
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601695 Issued in MI
Practice address
42430 W 12 Mile Rd
Novi, MI 48377-3028
Phone
(248) 465-6310
NPI assigned
Jun 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601695 MI Primary

Addresses

Primary practice location

42430 W 12 Mile Rd
Novi, MI 48377-3028

Mailing address

4679 Forestview Dr
West Bloomfield, MI 48322-4547
Phone (248) 595-6721

Other practice location 1

26776 W 12 Mile Rd Ste 103
Southfield, MI 48034-7807
Phone (248) 356-5520

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

LicenseStateTypeSpecialty
2901601695MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
George D. Najor DDS PastSince Sep 20, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1194409839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4679 FORESTVIEW DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224547",
            "telephone_number": "248-595-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42430 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773028",
            "telephone_number": "248-465-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26776 W 12 Mile Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480347807",
            "country_code": "US",
            "telephone_number": "248-356-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAMMAMI",
        "first_name": "NICHOLAS",
        "middle_name": "NADIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.