Individual provider Active NPI

Charles Saad Choueiry, DDS

  • General Practice Dentistry
  • Northville, MI
National Provider Identifier
1205966827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019001 Issued in MI
Practice address
418 N Center St
Northville, MI 48167-1283
Phone
(248) 349-3636
Fax
(248) 349-7014
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019001 MI Primary

Addresses

Primary practice location

418 N Center St
Northville, MI 48167-1283

Mailing address

418 N Center St
Northville, MI 48167-1283
Phone (248) 349-3636

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150427002421 MI Order and Referring Only - DentistPractitioner - Dentist 8123347051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019001MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles S. Choueiry, DDS, PC CurrentSince Sep 27, 2020 Accepting new patients

Locations

418 N Center St
Northville, MI 48167
Phone (248) 349-3636

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205966827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N CENTER ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671283",
            "telephone_number": "248-349-3636",
            "fax_number": "248-349-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N CENTER ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671283",
            "telephone_number": "248-349-3636",
            "fax_number": "248-349-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUEIRY",
        "first_name": "CHARLES",
        "middle_name": "SAAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.